Provider Demographics
NPI:1023673977
Name:SWARUP, ALKA
Entity type:Individual
Prefix:
First Name:ALKA
Middle Name:
Last Name:SWARUP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HUNNEWELL STREET
Mailing Address - Street 2:APT, SUITE, BLDG. (OPTIONAL)
Mailing Address - City:WELLESLEY HLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-5466
Mailing Address - Country:US
Mailing Address - Phone:781-249-7424
Mailing Address - Fax:
Practice Address - Street 1:10 HUNNEWELL STREET
Practice Address - Street 2:
Practice Address - City:WELLESLEY HLS
Practice Address - State:MA
Practice Address - Zip Code:02481
Practice Address - Country:US
Practice Address - Phone:781-433-6599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8627225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation