Provider Demographics
NPI:1942911375
Name:TRYON, MARGARET NEVILLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:NEVILLE
Last Name:TRYON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WATER ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4808
Mailing Address - Country:US
Mailing Address - Phone:617-347-4494
Mailing Address - Fax:
Practice Address - Street 1:19 MUZZEY ST STE L20
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-5256
Practice Address - Country:US
Practice Address - Phone:978-237-4937
Practice Address - Fax:617-500-9318
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA944225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics