Provider Demographics
NPI:1912166984
Name:SKORDAS, MARGARET M (MASSAGE THERAPY)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:M
Last Name:SKORDAS
Suffix:
Gender:F
Credentials:MASSAGE THERAPY
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:M
Other - Last Name:SKORDAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MASSAGE THERAPY
Mailing Address - Street 1:546 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08270-2025
Mailing Address - Country:US
Mailing Address - Phone:609-861-1234
Mailing Address - Fax:609-861-1233
Practice Address - Street 1:546 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WOODBINE
Practice Address - State:NJ
Practice Address - Zip Code:08270-2025
Practice Address - Country:US
Practice Address - Phone:609-861-1234
Practice Address - Fax:609-861-1233
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist