Provider Demographics
NPI:1225673247
Name:SCHIFFNER HENDERSON, MARGO VEE (OCCUPATIONAL THERAPI)
Entity type:Individual
Prefix:MS
First Name:MARGO
Middle Name:VEE
Last Name:SCHIFFNER HENDERSON
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1859 BIRD ST
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-4854
Mailing Address - Country:US
Mailing Address - Phone:530-532-5735
Mailing Address - Fax:
Practice Address - Street 1:1859 BIRD ST
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-4854
Practice Address - Country:US
Practice Address - Phone:530-532-5735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3850225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS0410041Medicaid