Provider Demographics
NPI:1942541230
Name:BRIDGES, MARGARET EVELYN (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:EVELYN
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10787 CREST ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-5171
Mailing Address - Country:US
Mailing Address - Phone:571-236-7091
Mailing Address - Fax:
Practice Address - Street 1:10787 CREST ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5171
Practice Address - Country:US
Practice Address - Phone:571-236-7091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005573225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist