Individual
NICOLE NOEL SWAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 21ST ST, FLORENCE, OR 97439-9771
(541) 997-8436
Mailing address
1951 21ST ST, FLORENCE, OR 97439-9771
(541) 997-8436
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
362246
OR
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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