Provider Demographics
NPI:1215477237
Name:BOGER, MARGARET (OTR)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:BOGER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:5701 VIRGINIA PKWY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5652
Mailing Address - Country:US
Mailing Address - Phone:432-770-7485
Mailing Address - Fax:
Practice Address - Street 1:5701 VIRGINIA PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5652
Practice Address - Country:US
Practice Address - Phone:432-770-7485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-24
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104196225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist