Provider Demographics
NPI:1508079054
Name:GIBLIN, MARGARET (COTA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:GIBLIN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:GIBLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:624 PONDER AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6735
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:624 PONDER AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6735
Practice Address - Country:US
Practice Address - Phone:941-773-3637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA10432224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant