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NPI Code Detail

MEDICARE: STACIE SWARTZ OTR/L

MEDICARE:   STACIE  SWARTZ  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 TherapistOT9464FL

Other Identifiers

General Provider Information

NPI Number : 1710915020
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE SWARTZ OTR/L
Provider Business Mailing Address
First Line : 13750 86TH TER
Second Line :
City : LIVE OAK
State : FL
Zip : 32060-8830
Country : US
Telephone Number : 386-364-6426
Fax Number : 386-364-1433
Provider Business Practice Location Address
First Line : 13750 86TH TER
Second Line :
City : LIVE OAK
State : FL
Zip : 32060-8830
Country : US
Telephone Number : 386-364-6426
Fax Number : 386-364-1433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/09/2007

Similar Medicare Providers

1689693111 — MR. MICHAEL THOMAS SWARTZ M.S., CCC-SLP
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Directions to “ STACIE SWARTZ OTR/L” Practice Location

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