Provider Demographics
NPI:1811775604
Name:SWENZINSKI, SONYA (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:SWENZINSKI
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 SE WOODBINE DR
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-4755
Mailing Address - Country:US
Mailing Address - Phone:319-310-5832
Mailing Address - Fax:
Practice Address - Street 1:1203 N E ST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-3202
Practice Address - Country:US
Practice Address - Phone:515-961-7458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA121930225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist