MEDICARE: EMILY SWARTZ MSOTR/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
1	225X00000X	Occupational Therapist	10017	MA
2	225X00000X	Occupational Therapist	12476	FL

General Provider Information

NPI Number	:	1629309091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY SWARTZ MSOTR/L

Provider Business Mailing Address
First Line	:	5301 CEDAR LAKE RD APT 913
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3029
Country	:	US
Telephone Number	:	561-603-5654
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 CEDAR LAKE RD APT 913
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3029
Country	:	US
Telephone Number	:	561-603-5654
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2010
Last Update Date	:	01/24/2010

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