Provider Demographics
NPI:1053450890
Name:SLIWA, CATHERINE A (OTR)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:A
Last Name:SLIWA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LINDBERGH RD
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-1125
Mailing Address - Country:US
Mailing Address - Phone:781-888-0139
Mailing Address - Fax:
Practice Address - Street 1:207 FOREST AVE
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-2247
Practice Address - Country:US
Practice Address - Phone:781-888-0139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6114225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist