Provider Demographics
NPI:1588967434
Name:ROLLER, MARGARET LORETTA (PT, MS, DPT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LORETTA
Last Name:ROLLER
Suffix:
Gender:F
Credentials:PT, MS, DPT
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:ROLLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:CSUN DEPARTMENT OF PHYSICAL THERAPY
Mailing Address - Street 2:18111 NORDHOFF ST.
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91330-0001
Mailing Address - Country:US
Mailing Address - Phone:818-677-4684
Mailing Address - Fax:818-677-7411
Practice Address - Street 1:CSUN DEPARTMENT OF PHYSICAL THERAPY
Practice Address - Street 2:18111 NORDHOFF ST.
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91330-0001
Practice Address - Country:US
Practice Address - Phone:818-677-4684
Practice Address - Fax:818-677-7411
Is Sole Proprietor?:No
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA160082251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology