Provider Demographics
NPI:1508158270
Name:KARDOS, MARGARET ROSE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ROSE
Last Name:KARDOS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 BAYVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-7918
Mailing Address - Country:US
Mailing Address - Phone:203-414-8390
Mailing Address - Fax:
Practice Address - Street 1:60 BAYVIEW BLVD
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-7918
Practice Address - Country:US
Practice Address - Phone:203-414-8390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1974225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist