Provider Demographics
NPI:1740423185
Name:SWANSON, DEANA (OTR, CHT)
Entity Type:Individual
Prefix:MRS
First Name:DEANA
Middle Name:
Last Name:SWANSON
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:MS
Other - First Name:DEANA
Other - Middle Name:
Other - Last Name:FORLENZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR, CHT
Mailing Address - Street 1:31 HUFF RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2931
Mailing Address - Country:US
Mailing Address - Phone:973-204-8488
Mailing Address - Fax:
Practice Address - Street 1:31 HUFF RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-204-8488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015594225X00000X
NJ46TR00684300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist