| NPI | 1588728588 |
|---|---|
| Former Name | SAMANTHA JEAN SWENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 5129) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 005129) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2021-05-08 |