Individual
BRIONNA MAY SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4706 ASHVILLE RD, ASHVILLE, NY 14710-9728
(910) 964-4066
Mailing address
4706 ASHVILLE RD, ASHVILLE, NY 14710-9728
(910) 964-4066
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15201
NC
225700000X
Massage Therapist
19812
NC
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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