Provider Demographics
NPI:1942471107
Name:SCHWARTZ, ADINA PAULINE (MA, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ADINA
Middle Name:PAULINE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 SUNSET BLVD, BOX 56
Mailing Address - Street 2:DIVISION OF PHYSICAL AND OCCUPATIONAL THERAPY
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027
Mailing Address - Country:US
Mailing Address - Phone:323-361-2118
Mailing Address - Fax:
Practice Address - Street 1:4650 SUNSET BLVD, BOX 56
Practice Address - Street 2:DIVISION OF PHYSICAL AND OCCUPATIONAL THERAPY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-361-2118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6594225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics