Provider Demographics
NPI:1992826606
Name:SCHWOYER, WENDY SUSAN (OTR)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:SUSAN
Last Name:SCHWOYER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 BRAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-1257
Mailing Address - Country:US
Mailing Address - Phone:610-781-7272
Mailing Address - Fax:
Practice Address - Street 1:807 BRAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:DOUGLASSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19518-1257
Practice Address - Country:US
Practice Address - Phone:610-781-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008751225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOC008751OtherOCCUPATIONAL THERAPIST
PA0019369650003Medicaid