Provider Demographics
NPI:1851506968
Name:MYERS, MARGARET YOUNGWERTH (OT L)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:YOUNGWERTH
Last Name:MYERS
Suffix:
Gender:F
Credentials:OT L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 SHAKESPEARE ST
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560
Mailing Address - Country:US
Mailing Address - Phone:919-468-5899
Mailing Address - Fax:
Practice Address - Street 1:301 KILDAIRE WOODS DR
Practice Address - Street 2:WOODLAND TERRACE ASSISTED LIVING FACILITY
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511
Practice Address - Country:US
Practice Address - Phone:919-481-9199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1733225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist