Provider Demographics
NPI:1871644286
Name:MUTIO, MARGARET LINDEKEN (PT CHT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LINDEKEN
Last Name:MUTIO
Suffix:
Gender:F
Credentials:PT CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1604 COUNTRYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-1010
Mailing Address - Country:US
Mailing Address - Phone:925-939-6001
Mailing Address - Fax:
Practice Address - Street 1:320 LENNON LN
Practice Address - Street 2:SHASTA BUILDING
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2419
Practice Address - Country:US
Practice Address - Phone:925-906-2247
Practice Address - Fax:925-906-2255
Is Sole Proprietor?:No
Enumeration Date:2007-01-13
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10455225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist