Provider Demographics
NPI:1467934935
Name:SWOGGER, KARA (OTR/L, CLT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:SWOGGER
Suffix:
Gender:F
Credentials:OTR/L, CLT
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:ROMANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6338 E SOUTH RANGE RD
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44454-9706
Mailing Address - Country:US
Mailing Address - Phone:724-730-6139
Mailing Address - Fax:
Practice Address - Street 1:2405 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44507-1432
Practice Address - Country:US
Practice Address - Phone:330-746-7641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014898225X00000X
OHOT009620225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA372698OtherNBCOT