Provider Demographics
NPI:1902961147
Name:MUENZER, MARGARET LISTER (PT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:LISTER
Last Name:MUENZER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 RED CEDAR PL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2140
Mailing Address - Country:US
Mailing Address - Phone:919-929-1797
Mailing Address - Fax:919-929-1797
Practice Address - Street 1:105 RED CEDAR PL
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2140
Practice Address - Country:US
Practice Address - Phone:919-929-1797
Practice Address - Fax:919-929-1797
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4893225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7261290Medicaid
NC61290OtherBLUE CROSS BLUE SHIELD