Provider Demographics
NPI:1285282681
Name:KOR, MARGARET BAO VAN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:BAO VAN
Last Name:KOR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:BAO VAN
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:4801 W 81ST ST STE 112
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-1111
Mailing Address - Country:US
Mailing Address - Phone:952-913-2907
Mailing Address - Fax:952-345-6789
Practice Address - Street 1:4801 W 81ST ST STE 112
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-1111
Practice Address - Country:US
Practice Address - Phone:952-913-2907
Practice Address - Fax:952-345-6789
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN105839225XG0600X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology