Provider Demographics
NPI:1659554202
Name:SWANN, KAREN APRIL (OTRL)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:APRIL
Last Name:SWANN
Suffix:
Gender:
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5980 RADIO STATION RD
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-3337
Mailing Address - Country:US
Mailing Address - Phone:301-934-7432
Mailing Address - Fax:
Practice Address - Street 1:15495 ROCK POINT RD
Practice Address - Street 2:
Practice Address - City:NEWBURG
Practice Address - State:MD
Practice Address - Zip Code:20664-6403
Practice Address - Country:US
Practice Address - Phone:301-643-1561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004909976Medicaid