Provider Demographics
NPI:1366103269
Name:CALATA-FERRELL, MARGARITA (DPT, MS, CLT)
Entity type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:CALATA-FERRELL
Suffix:
Gender:F
Credentials:DPT, MS, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2741 LAKESIDE PKWY APT 217
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4417
Mailing Address - Country:US
Mailing Address - Phone:972-322-7480
Mailing Address - Fax:469-375-5382
Practice Address - Street 1:2741 LAKESIDE PKWY APT 217
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4417
Practice Address - Country:US
Practice Address - Phone:214-222-5023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1064756225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist