Provider Demographics
NPI:1437679594
Name:SWIATKO, MARLA ANN (COTA/L)
Entity Type:Individual
Prefix:
First Name:MARLA
Middle Name:ANN
Last Name:SWIATKO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10351 WHISPERING PALMS DR APT 103
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8498
Mailing Address - Country:US
Mailing Address - Phone:239-674-9830
Mailing Address - Fax:
Practice Address - Street 1:10351 WHISPERING PALMS DR APT 103
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-8498
Practice Address - Country:US
Practice Address - Phone:239-674-9830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA15764224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant