Provider Demographics
NPI:1629309091
Name:SWARTZ, EMILY (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 CEDAR LAKE RD APT 913
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3029
Mailing Address - Country:US
Mailing Address - Phone:561-603-5654
Mailing Address - Fax:
Practice Address - Street 1:5301 CEDAR LAKE RD APT 913
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3029
Practice Address - Country:US
Practice Address - Phone:561-603-5654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-24
Last Update Date:2010-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10017225X00000X
FL12476225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist