MEDICARE: MRS. KAREN APRIL SWANN OTRL

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

Other Identifiers

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

General Provider Information

NPI Number	:	1659554202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN APRIL SWANN OTRL

Provider Business Mailing Address
First Line	:	5980 RADIO STATION RD
Second Line	:
City	:	LA PLATA
State	:	MD
Zip	:	20646-3337
Country	:	US
Telephone Number	:	301-934-7432
Fax Number	:

Provider Business Practice Location Address
First Line	:	15495 ROCK POINT RD
Second Line	:
City	:	NEWBURG
State	:	MD
Zip	:	20664-6403
Country	:	US
Telephone Number	:	301-643-1561
Fax Number	:

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

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	04/22/2025

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