Mrs. Holly Jo Swinehart
Occupational Therapist - Hand
419 S Coral St
Kalkaska
, Michigan 49646-2503
Mrs. Holly Jo Swinehart
Occupational Therapist - Hand
419 S Coral St
Kalkaska
, Michigan 49646-2503
(231) 258-7615
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Mrs. Holly Jo Swinehart
- 419 S Coral St
- Kalkaska, MI
- Zip : 49646-2503
- Fax : (231) 258-7615
- Phone : (231) 258-7534
Second Address
- Mrs. Holly Jo Swinehart
- 419 S Coral St
- Kalkaska, MI
- Zip : 49646-2503
- Phone : (231) 258-7534
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | 5201007126 | MI |
National Provider Identifier
| NPI | 1013417609 |
|---|---|
| Provider Name | Mrs. Holly Jo Swinehart |
| First Address | Kalkaska, MI 49646-2503 |
| Second Address | Kalkaska, MI 49646-2503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2018 |
| Last Update Date | 20/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5201007126 | OT LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.