Provider Demographics
NPI:1598519704
Name:RUTKOWSKI, MARGARET (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:RUTKOWSKI
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 SOUTH BLVD APT 321
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-1181
Mailing Address - Country:US
Mailing Address - Phone:814-823-3710
Mailing Address - Fax:
Practice Address - Street 1:2630 SOUTH BLVD APT 321
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-1181
Practice Address - Country:US
Practice Address - Phone:814-823-3710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16544225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist