Provider Demographics
NPI:1073751384
Name:SWARTZENTRUBER, KAROLINA JOANNA
Entity Type:Individual
Prefix:MRS
First Name:KAROLINA
Middle Name:JOANNA
Last Name:SWARTZENTRUBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4760 BELPAR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718
Mailing Address - Country:US
Mailing Address - Phone:330-244-1000
Mailing Address - Fax:
Practice Address - Street 1:7034 BRAUCHER ST NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-6326
Practice Address - Country:US
Practice Address - Phone:330-754-2425
Practice Address - Fax:330-754-2187
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH010649225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist