Individual
KAMIE MARIE CORBIERE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-7822
(920) 433-3651
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7238
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.007861
IL
225X00000X
Occupational Therapist
Primary
5780-26
WI
Other
Enumeration date
05/01/2007
Last updated
04/07/2020
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