Provider Demographics
NPI:1629776547
Name:HINSON SCEROLER, MARGARET (COTA/L)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:HINSON SCEROLER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 W VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-1039
Mailing Address - Country:US
Mailing Address - Phone:480-398-7324
Mailing Address - Fax:480-365-0111
Practice Address - Street 1:2 W VERNON AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-1039
Practice Address - Country:US
Practice Address - Phone:480-398-7324
Practice Address - Fax:480-365-0111
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTA-047092224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant