Individual
MRS. ALISA SWIFKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
960 S RAPIDS RD, MANITOWOC, WI 54220-4146
(920) 684-1144
Mailing address
PO BOX 174, MISHICOT, WI 54228-0174
(612) 295-7751
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
528627
WI
314000000X
Skilled Nursing Facility
5286-27
WI
Other
Enumeration date
08/24/2017
Last updated
05/28/2024
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