Provider Demographics
NPI:1184977613
Name:STOKELY, MARGARET LUCY (OTR/L)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LUCY
Last Name:STOKELY
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 1:44 DANBURY ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-5814
Mailing Address - Country:US
Mailing Address - Phone:423-243-4743
Mailing Address - Fax:
Practice Address - Street 1:44 DANBURY ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-5814
Practice Address - Country:US
Practice Address - Phone:423-243-4743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10789208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation