Provider Demographics
NPI:1851982045
Name:SWARTWOOD, MONIQUE (COTA/L)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:SWARTWOOD
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:SWARTWOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COTA/L
Mailing Address - Street 1:43210 N 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW RIVER
Mailing Address - State:AZ
Mailing Address - Zip Code:85087-8906
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43210 N 7TH AVE
Practice Address - Street 2:
Practice Address - City:NEW RIVER
Practice Address - State:AZ
Practice Address - Zip Code:85087-8906
Practice Address - Country:US
Practice Address - Phone:480-840-4595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTA-005891224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant