| NPI | 1033546841 |
|---|---|
| Former Name | MARIE KOLEKA SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AK 2698) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 2698) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2015-02-05 |