Provider Demographics
NPI:1912083445
Name:OWENS, MARGARET A (MSPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:OWENS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 SHERMAN HILL RD
Mailing Address - Street 2:A-201
Mailing Address - City:WOODBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06798-3648
Mailing Address - Country:US
Mailing Address - Phone:203-263-3104
Mailing Address - Fax:
Practice Address - Street 1:51 SHERMAN HILL RD
Practice Address - Street 2:A-201
Practice Address - City:WOODBURY
Practice Address - State:CT
Practice Address - Zip Code:06798-3648
Practice Address - Country:US
Practice Address - Phone:203-263-3104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001559225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist