Provider Demographics
NPI:1720119696
Name:JUNKER, MARGARET C (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:C
Last Name:JUNKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:124 WHITEROCK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NC
Mailing Address - Zip Code:28120-8102
Mailing Address - Country:US
Mailing Address - Phone:704-840-6779
Mailing Address - Fax:
Practice Address - Street 1:620 SUMMIT CROSSING PL
Practice Address - Street 2:STE 305
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2176
Practice Address - Country:US
Practice Address - Phone:704-833-3103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10309225100000X
KY4479225100000X
TX1195602225100000X
NCP13676225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q40266AOtherMEDICARE PTAN