Healthcare Provider Details

I. General information

NPI: 1164351862
Provider Name (Legal Business Name): HEATHER SWIFT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 S WALNUT ST
ANAHEIM CA
92802-1450
US

IV. Provider business mailing address

373 N FAIRMONT ST
ORANGE CA
92868-2142
US

V. Phone/Fax

Practice location:
  • Phone: 714-517-8956
  • Fax:
Mailing address:
  • Phone: 714-402-3985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: