MEDICARE: KARRIE SWEENEY OTD, 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
1	225X00000X	Occupational Therapist	OT007214	OH

General Provider Information

NPI Number	:	1982439212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARRIE SWEENEY OTD, OTR/L

Provider Business Mailing Address
First Line	:	2504 DYSART RD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-4407
Country	:	US
Telephone Number	:	419-656-1474
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 S GREEN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-4211
Country	:	US
Telephone Number	:	216-691-2245
Fax Number	:

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

Provider Enumeration Date	:	09/05/2024
Last Update Date	:	09/05/2024

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