Doctor Name: | ILANNA SUE SCHWALBE |
NPI Number: | 1083785505 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, OTR, CHT |
License Number: | 5762 |
Business Practice Address: | 6 Greenwich Office Park 40 Valley Drive Greenwich, CT - 068315151 |
Business Phone Number: | 2038691145 |
Business Fax Number: | |
Mailing Address: | 6 Greenwich Office Park, 40 Valley Drive GREENWICH |
State: | CT |
Postal Code: | 068315151 |
Phone Number: | 2038691145 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 5762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |