Provider Demographics
NPI:1588861538
Name:SWARTZ, KRISTEN LORELLE (MS, OTR L)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:LORELLE
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:MS, OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 GOUCHER WOODS CT
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5655
Mailing Address - Country:US
Mailing Address - Phone:410-375-8826
Mailing Address - Fax:
Practice Address - Street 1:12 GOUCHER WOODS CT
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5655
Practice Address - Country:US
Practice Address - Phone:410-375-8826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05621225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist