Provider Demographics
NPI:1669847794
Name:SWIFT, SHARON (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:SWIFT
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 1:1250 HARDY POINTE DR
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-5281
Mailing Address - Country:US
Mailing Address - Phone:706-814-4426
Mailing Address - Fax:
Practice Address - Street 1:1250 HARDY POINTE DR
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-5281
Practice Address - Country:US
Practice Address - Phone:706-814-4426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT002518225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist