Provider Demographics
NPI:1396207510
Name:HITZGES, MARGARET MARY (OT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:HITZGES
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5608 BOUNDARY AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21661-1604
Mailing Address - Country:US
Mailing Address - Phone:443-350-6501
Mailing Address - Fax:
Practice Address - Street 1:5608 BOUNDARY AVE
Practice Address - Street 2:
Practice Address - City:ROCK HALL
Practice Address - State:MD
Practice Address - Zip Code:21661-1604
Practice Address - Country:US
Practice Address - Phone:443-350-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05227225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics