Provider Demographics
NPI:1770714438
Name:DEPASQUALE, MARGARET (OTR/L)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:DEPASQUALE
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 1:1181 PATCH MTN RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:ME
Mailing Address - Zip Code:04255-4310
Mailing Address - Country:US
Mailing Address - Phone:207-527-2725
Mailing Address - Fax:
Practice Address - Street 1:1181 PATCH MTN RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:ME
Practice Address - Zip Code:04255-4310
Practice Address - Country:US
Practice Address - Phone:207-527-2725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1137225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics