NPI | 1881226926 |
---|---|
Former Name | PAYTON M SWANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2020-02-06 |
Last Update Date | 2024-12-05 |