Individual
LYDIA ANN SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
118 CENTRAL STREET WEST, BAGLEY, MN 56621-5662
(218) 694-3030
(218) 694-3033
Mailing address
3835 SUPREME CT NW STE 2, BEMIDJI, MN 56601-4485
(218) 444-8280
(218) 444-8337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5786
MN
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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