| Doctor Name: | STEFFANIE SWENSON |
| NPI Number: | 1003039983 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2002 OT |
| Business Practice Address: | 9961 Sierra Ave Fontana, CA - 923356720 |
| Business Phone Number: | 9094274075 |
| Business Fax Number: | |
| Mailing Address: | 871 Saint Andrews Way, BEAUMONT |
| State: | CA |
| Postal Code: | 922237192 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | 2002 OT |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |