Provider Demographics
NPI:1003250671
Name:SWIDLER, LORIANNE (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:LORIANNE
Middle Name:
Last Name:SWIDLER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:SWIDLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COTA/L
Mailing Address - Street 1:810 DERBY AVE
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-8366
Mailing Address - Country:US
Mailing Address - Phone:717-903-5620
Mailing Address - Fax:
Practice Address - Street 1:1901 N 5TH ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-1510
Practice Address - Country:US
Practice Address - Phone:717-221-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP001421L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant