Provider Demographics
NPI:1396622866
Name:SWAN-LEUZE, HADYN NICOLE (OTR/L)
Entity type:Individual
Prefix:
First Name:HADYN
Middle Name:NICOLE
Last Name:SWAN-LEUZE
Suffix:
Gender:F
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 1:12 CRAWFORD LN
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:14750-9635
Mailing Address - Country:US
Mailing Address - Phone:716-969-2093
Mailing Address - Fax:
Practice Address - Street 1:4108 MAIN ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16511-1968
Practice Address - Country:US
Practice Address - Phone:814-813-2759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030329225X00000X
PAOC020895225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist