Provider Demographics
NPI:1326440181
Name:SWEDERSKY, MELISSA SUE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:SUE
Last Name:SWEDERSKY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 EASTWIND DRIVE
Mailing Address - Street 2:SPECIAL EDUCATION OFFICE WESTERVILLE CITY SCHOOLS
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081
Mailing Address - Country:US
Mailing Address - Phone:614-797-5700
Mailing Address - Fax:
Practice Address - Street 1:936 EASTWIND DRIVE
Practice Address - Street 2:SPECIAL EDUCATION OFFICE WESTERVILLE CITY SCHOOLS
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081
Practice Address - Country:US
Practice Address - Phone:614-797-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT00Y967225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist