Provider Demographics
NPI:1225508492
Name:SWOPE, JODY ANN X (OT)
Entity Type:Individual
Prefix:MS
First Name:JODY
Middle Name:ANN
Last Name:SWOPE
Suffix:X
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 N SQUIRREL RD STE 320
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-4608
Mailing Address - Country:US
Mailing Address - Phone:248-209-4970
Mailing Address - Fax:248-656-6974
Practice Address - Street 1:2251 N SQUIRREL RD STE 320
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-4608
Practice Address - Country:US
Practice Address - Phone:248-209-4970
Practice Address - Fax:248-656-6974
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201002881225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist