Provider Demographics
NPI:1568525780
Name:WOODSMALL, MARGARET MONROE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MONROE
Last Name:WOODSMALL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4251 E WOODSMALL DR
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-8500
Mailing Address - Country:US
Mailing Address - Phone:812-299-8484
Mailing Address - Fax:812-299-5484
Practice Address - Street 1:4251 E WOODSMALL DR
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-8500
Practice Address - Country:US
Practice Address - Phone:812-299-8484
Practice Address - Fax:812-299-5484
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31001472A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist