Provider Demographics
NPI:1457439614
Name:SWIDERSKI, CATHERINE LAURA (OT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LAURA
Last Name:SWIDERSKI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 MAIN ST
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079
Mailing Address - Country:US
Mailing Address - Phone:603-893-8550
Mailing Address - Fax:603-893-8680
Practice Address - Street 1:224 MAIN ST
Practice Address - Street 2:SUITE 2D
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079
Practice Address - Country:US
Practice Address - Phone:603-893-8550
Practice Address - Fax:603-893-8680
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007835-1225XE1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics