Provider Demographics
NPI:1902314032
Name:SWIFT, ERICA MAY (COTA/L)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:MAY
Last Name:SWIFT
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 1:49 MORSE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-8368
Mailing Address - Country:US
Mailing Address - Phone:570-337-7259
Mailing Address - Fax:
Practice Address - Street 1:51 ROUTE 204
Practice Address - Street 2:
Practice Address - City:SELINSGROVE
Practice Address - State:PA
Practice Address - Zip Code:17870-8066
Practice Address - Country:US
Practice Address - Phone:570-374-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant