Individual
MRS. HOLLY JO SWINEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7534
Mailing address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7534
(231) 258-7615
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201007126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201007126
OT LICENSE
MI
Enumeration date
02/20/2018
Last updated
02/20/2018
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