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NPI Code Detail

MEDICARE: STEPHANIE SWAIN MOT, OTR/L

MEDICARE: STEPHANIE SWAIN MOT, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT12438FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215038013
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SWAIN MOT, OTR/L
Provider Business Mailing Address
First Line : 4907 NW 43RD ST STE C
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-2007
Country : US
Telephone Number : 352-372-0047
Fax Number : 352-372-4701
Provider Business Practice Location Address
First Line : 4907 NW 43RD ST STE C
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-2007
Country : US
Telephone Number : 352-372-0047
Fax Number : 352-372-4701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/08/2007

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Directions to “ STEPHANIE SWAIN MOT, OTR/L” Practice Location

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