Provider Demographics
NPI:1710380605
Name:BELANGER, MARGARET ESTHER (OTA/L)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ESTHER
Last Name:BELANGER
Suffix:
Gender:F
Credentials:OTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 26TH ST
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-2736
Mailing Address - Country:US
Mailing Address - Phone:206-427-3037
Mailing Address - Fax:
Practice Address - Street 1:2906 26TH ST
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-2736
Practice Address - Country:US
Practice Address - Phone:206-427-3037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant