Provider Demographics
NPI:1891898805
Name:SWINDLER, MICHAEL R (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:R
Last Name:SWINDLER
Suffix:
Gender:M
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 1:2640 W DIAMOND ST
Mailing Address - Street 2:UNIT 6
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-1884
Mailing Address - Country:US
Mailing Address - Phone:702-810-6265
Mailing Address - Fax:
Practice Address - Street 1:2640 W DIAMOND ST
Practice Address - Street 2:UNIT 6
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1884
Practice Address - Country:US
Practice Address - Phone:702-810-6265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3719225XR0403X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility