Provider Demographics
NPI:1841959301
Name:CROUCH, MARGARET MARY (OTR/L)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARY
Last Name:CROUCH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:MARY
Other - Last Name:BOELTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:134 LANDSBURY DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2412
Mailing Address - Country:US
Mailing Address - Phone:304-210-8620
Mailing Address - Fax:
Practice Address - Street 1:5601 ARRINGDON PARK DR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5676
Practice Address - Country:US
Practice Address - Phone:919-997-3050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14530225X00000X, 225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist