Provider Demographics
NPI:1366730665
Name:SCHWEITZER, PATRICIA JOY (OT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JOY
Last Name:SCHWEITZER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 MCBRIDE AVE
Mailing Address - Street 2:#2
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-3806
Mailing Address - Country:US
Mailing Address - Phone:973-339-9902
Mailing Address - Fax:
Practice Address - Street 1:1130 MCBRIDE AVE
Practice Address - Street 2:#2
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-3806
Practice Address - Country:US
Practice Address - Phone:973-339-9902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007227225X00000X
NJ46TR00350500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist