Provider Demographics
NPI:1104108810
Name:CHAMBERS, MARGARET MARY (OTR)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ERIE ST
Mailing Address - Street 2:
Mailing Address - City:MAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14757-9755
Mailing Address - Country:US
Mailing Address - Phone:716-753-5857
Mailing Address - Fax:716-753-5850
Practice Address - Street 1:100 N ERIE ST
Practice Address - Street 2:
Practice Address - City:MAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:14757-9755
Practice Address - Country:US
Practice Address - Phone:716-753-5857
Practice Address - Fax:716-753-5850
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009604-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist