Provider Demographics
NPI:1457471971
Name:SIEGEL, MARGARET MARY (DPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5441 N SWAN RD
Mailing Address - Street 2:APT 418
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5441 N SWAN RD
Practice Address - Street 2:APT 418
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5434
Practice Address - Country:US
Practice Address - Phone:520-247-6560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7337225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist