Individual
CARLA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-4150
(320) 839-4196
Mailing address
820 ROY ST, ORTONVILLE, MN 56278-1138
(320) 839-4087
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0540
SD
225X00000X
Occupational Therapist
Primary
101904
MN
Other
Enumeration date
11/06/2006
Last updated
09/04/2007
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