Provider Demographics
NPI:1023470952
Name:POVROZNIK, MARGARET (OT)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:POVROZNIK
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 WHEELERS FARMS RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461-1871
Mailing Address - Country:US
Mailing Address - Phone:203-668-5978
Mailing Address - Fax:203-738-1023
Practice Address - Street 1:312 WHEELERS FARMS RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-1871
Practice Address - Country:US
Practice Address - Phone:203-668-5978
Practice Address - Fax:203-738-1023
Is Sole Proprietor?:No
Enumeration Date:2016-03-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000688225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist