Healthcare Provider Details

I. General information

NPI: 1659554202
Provider Name (Legal Business Name): KAREN APRIL SWANN OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15495 ROCK POINT RD
NEWBURG MD
20664-6403
US

IV. Provider business mailing address

5980 RADIO STATION RD
LA PLATA MD
20646-3337
US

V. Phone/Fax

Practice location:
  • Phone: 301-643-1561
  • Fax:
Mailing address:
  • Phone: 301-934-7432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: