Provider Demographics
NPI:1225705262
Name:SWAIN, EMILY DAWN (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:DAWN
Last Name:SWAIN
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 E 600 S
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3838
Mailing Address - Country:US
Mailing Address - Phone:385-625-8780
Mailing Address - Fax:
Practice Address - Street 1:2044 MESA PALMS DR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5546
Practice Address - Country:US
Practice Address - Phone:435-673-5353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-008113225X00000X
UT8646807-4201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist