Provider Demographics
NPI:1902218167
Name:SWARTZ, ADRIANA (OTR)
Entity Type:Individual
Prefix:MISS
First Name:ADRIANA
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:NEWTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 WILLIAMSON RD
Mailing Address - Street 2:
Mailing Address - City:WASHBURN
Mailing Address - State:WI
Mailing Address - Zip Code:54891-3410
Mailing Address - Country:US
Mailing Address - Phone:218-260-0989
Mailing Address - Fax:
Practice Address - Street 1:101 WILLIAMSON RD
Practice Address - Street 2:
Practice Address - City:WASHBURN
Practice Address - State:WI
Practice Address - Zip Code:54891-3410
Practice Address - Country:US
Practice Address - Phone:218-260-0989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI549626225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist