Individual
JILL SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 300, RICHMOND HEIGHTS, MO 63117-1203
(314) 644-5730
Mailing address
1034 S BRENTWOOD BLVD STE 300, RICHMOND HEIGHTS, MO 63117-1203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.011739
IL
225X00000X
Occupational Therapist
Primary
2016025073
MO
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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