Provider Demographics
NPI:1366968406
Name:MILHOAN, MARGARET GAIL (OTR)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:GAIL
Last Name:MILHOAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:GAIL
Other - Last Name:BOHLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:2857 S WALNUT STREET PIKE
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-8402
Mailing Address - Country:US
Mailing Address - Phone:812-278-1592
Mailing Address - Fax:
Practice Address - Street 1:2101 W TAPP RD
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-3278
Practice Address - Country:US
Practice Address - Phone:812-330-4460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31006380A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist