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Individual

MRS. NICOLE SWANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2800 S 2ND ST STE B, CABOT, AR 72023-7030
(501) 286-6075
Mailing address
3832 CENTER ST, LIVONIA, NY 14487-9553

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3527
AR

Other

Enumeration date
08/25/2021
Last updated
08/25/2021
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