Provider Demographics
NPI:1982949855
Name:SVINARICH, AMY (OTD, OTR)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SVINARICH
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11062 WOLFF WAY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2046
Mailing Address - Country:US
Mailing Address - Phone:402-651-4232
Mailing Address - Fax:
Practice Address - Street 1:6443 KIPLING ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-2841
Practice Address - Country:US
Practice Address - Phone:402-651-4232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO823225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist