Provider Demographics
NPI:1265756811
Name:RICHARDS, MARGARET ALLISON (OTR, CHT, OPA-C)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ALLISON
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:OTR, CHT, OPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7540 N 19TH AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-7967
Mailing Address - Country:US
Mailing Address - Phone:602-249-9129
Mailing Address - Fax:602-249-4115
Practice Address - Street 1:7540 N 19TH AVE
Practice Address - Street 2:STE 101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-7967
Practice Address - Country:US
Practice Address - Phone:602-249-9129
Practice Address - Fax:602-249-4115
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4569225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
9105000935OtherHAND THERAPY CERTIFICATION COMMISSION, INC.