Provider Demographics
NPI:1891505806
Name:DUNCAN, MARGARET LORENE (MOT/L)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LORENE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MOT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7261 BUCKBOARD CV
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-1012
Mailing Address - Country:US
Mailing Address - Phone:901-299-4579
Mailing Address - Fax:
Practice Address - Street 1:6605 N QUAIL HOLLOW RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1323
Practice Address - Country:US
Practice Address - Phone:901-617-7501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8183225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist