Provider Demographics
NPI:1467005785
Name:HUTSON, MARGARET O
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:O
Last Name:HUTSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 N LOWDEN RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT CARROLL
Mailing Address - State:IL
Mailing Address - Zip Code:61053-9476
Mailing Address - Country:US
Mailing Address - Phone:815-244-7715
Mailing Address - Fax:815-244-3127
Practice Address - Street 1:1006 N LOWDEN RD
Practice Address - Street 2:
Practice Address - City:MOUNT CARROLL
Practice Address - State:IL
Practice Address - Zip Code:61053-9476
Practice Address - Country:US
Practice Address - Phone:815-244-7715
Practice Address - Fax:815-244-3127
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant