Provider Demographics
NPI:1588958862
Name:KWART, MARGERY FOX (MS OTR/L, CAPS)
Entity type:Individual
Prefix:MS
First Name:MARGERY
Middle Name:FOX
Last Name:KWART
Suffix:
Gender:F
Credentials:MS OTR/L, CAPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3118 OLD POST DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3201
Mailing Address - Country:US
Mailing Address - Phone:703-220-1812
Mailing Address - Fax:
Practice Address - Street 1:3118 OLD POST DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-3201
Practice Address - Country:US
Practice Address - Phone:703-220-1812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-05
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119000229225X00000X
225XE0001X, 225XG0600X
MD07441225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology