Provider Demographics
NPI:1770714990
Name:REDMOND, MARGARET LOUISE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LOUISE
Last Name:REDMOND
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 1:12325 E GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1151
Mailing Address - Country:US
Mailing Address - Phone:509-927-9511
Mailing Address - Fax:
Practice Address - Street 1:26203 E ROWAN AVE
Practice Address - Street 2:
Practice Address - City:NEWMAN LAKE
Practice Address - State:WA
Practice Address - Zip Code:99025-9632
Practice Address - Country:US
Practice Address - Phone:509-922-6309
Practice Address - Fax:509-226-3668
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 00003370225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist