Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARGO ELENA VANDER WOUDE, COTA/L
Active Sole ProprietorMARGO ELENA VANDER WOUDE, COTA/L is a Occupational Therapy Assistant healthcare provider located in BON AQUA, Tennessee. NPI 1790201275 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BON AQUA, TN
Registration Details
- NPI Number
- 1790201275
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2017 (9.0070514645289 yrs)
- Last Updated
- May 18, 2020
- License
-
2942 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10875 MOSS BRANCH RDBON AQUA, TN, 370253149Browse TN providers · Browse ZIP 37025
- Phone
- 6155163794
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.