Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 3587 | NC |
NPI | 1033241971 |
---|---|
Provider Name | Ms. Donna Louise Swahlan |
First Address | Chapel Hill, NC 27514-5861 |
Second Address | Chapel Hill, NC 27514-5861 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1139Q | BLUE CROSS (01) | NC |
7301829 | (05) | NC |