Individual
FAITH SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 TANDBERG TRL, WINDHAM, ME 04062-6425
(207) 233-7373
Mailing address
14 MURRAY DR, GORHAM, ME 04038-4105
(207) 233-7373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1414T
WY
225X00000X
Occupational Therapist
T03225
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174867576
—
ME
Enumeration date
08/31/2016
Last updated
05/24/2019
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