| NPI | 1093109415 |
|---|---|
| Former Name | SHANNON MARIE SWENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: DC OT210002108) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07242) |
| 225XH1200X Occupational Therapist, Hand (Licence: VA 0119009887) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2024-11-19 |