Provider Demographics
NPI:1174967301
Name:RECHKEMMER, MARGARET ANN (OT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:RECHKEMMER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:DIRKSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:3385 DEXTER CT
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-3471
Mailing Address - Country:US
Mailing Address - Phone:563-344-6645
Mailing Address - Fax:563-441-7796
Practice Address - Street 1:3385 DEXTER CT
Practice Address - Street 2:SUITE 301
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-3471
Practice Address - Country:US
Practice Address - Phone:563-344-6645
Practice Address - Fax:563-441-7796
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002075225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist