| NPI | 1659573657 |
|---|---|
| Former Name | LYNNETTE RENEE SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 110486) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103462) |
| 225X00000X Occupational Therapist (Licence: ND 933) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-12-14 |