Provider Demographics
NPI:1710027214
Name:KING, MARGARET FLORENCE (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:FLORENCE
Last Name:KING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:FLORENCE
Other - Last Name:COCHRANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 CREDIT UNION WAY FL3
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4633
Mailing Address - Country:US
Mailing Address - Phone:781-961-3370
Mailing Address - Fax:781-961-1291
Practice Address - Street 1:4593 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02131-4844
Practice Address - Country:US
Practice Address - Phone:617-327-9097
Practice Address - Fax:617-327-4307
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10972225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
3300060OtherAETNA
Y68051OtherBLUE CROSS BLUE SHIELD
MA0396770Medicaid
MA626311OtherHARVARD PILGRIM
Y69002Medicare ID - Type Unspecified