Provider Demographics
NPI:1952877920
Name:SWINEHART, KAREN (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SWINEHART
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 FERNE AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-4606
Mailing Address - Country:US
Mailing Address - Phone:650-868-8707
Mailing Address - Fax:
Practice Address - Street 1:10011 N FOOTHILL BLVD STE 109
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-5649
Practice Address - Country:US
Practice Address - Phone:408-865-1365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT9871225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics