Provider Demographics
NPI:1437348448
Name:SWART, ANNE TERESA (OTR/L)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:TERESA
Last Name:SWART
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 1:1807 SANTA CLARA AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-2631
Mailing Address - Country:US
Mailing Address - Phone:510-393-3653
Mailing Address - Fax:
Practice Address - Street 1:585 8TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3714
Practice Address - Country:US
Practice Address - Phone:415-891-7308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12980225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist