SAMANTHA C SWANSON

ROCKFORD, IL
NPI1396238390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.004964)
Enumeration Date2018-06-13
Last Update Date2018-06-13
Business Address
Mrs. SAMANTHA C SWANSON
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 779-696-4595
Mailing Address
Mrs. SAMANTHA C SWANSON
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 779-696-4595
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