Provider Demographics
NPI:1194065094
Name:SCHWARTZ, JAIME LYNN (COTA/L)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:LYNN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:946 MEADOW MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:MC CONNELLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17233-8158
Mailing Address - Country:US
Mailing Address - Phone:717-372-7147
Mailing Address - Fax:
Practice Address - Street 1:1804 LITTLE EGYPT RD
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:PA
Practice Address - Zip Code:17228-9239
Practice Address - Country:US
Practice Address - Phone:717-372-7147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP007519224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant