Provider Demographics
NPI:1629035035
Name:TESSLER, MARGARET (RPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:TESSLER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3164
Mailing Address - Country:US
Mailing Address - Phone:203-271-2928
Mailing Address - Fax:203-669-8445
Practice Address - Street 1:475 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-3164
Practice Address - Country:US
Practice Address - Phone:203-271-2928
Practice Address - Fax:203-699-8445
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001927225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT508878OtherAETNA
CT08-0001927CT03OtherANTHEM BC/BS
CT004147189Medicaid