Provider Demographics
NPI:1215317151
Name:CONNER, MARGARET GATES
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:GATES
Last Name:CONNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ELIZABETH
Other - Last Name:CONNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:30 SANBORN DR
Mailing Address - Street 2:
Mailing Address - City:NEWFIELDS
Mailing Address - State:NH
Mailing Address - Zip Code:03856-8115
Mailing Address - Country:US
Mailing Address - Phone:603-772-5727
Mailing Address - Fax:
Practice Address - Street 1:30 SANBORN DR
Practice Address - Street 2:
Practice Address - City:NEWFIELDS
Practice Address - State:NH
Practice Address - Zip Code:03856-8115
Practice Address - Country:US
Practice Address - Phone:603-772-5727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0724225X00000X
SC3938225X00000X
MA3401225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist