Individual
MARIE SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 SUNNYVIEW LN, PRINCETON, WI 54968-9262
(920) 295-6463
Mailing address
329 S CLINTON ST, PRINCETON, WI 54968-8912
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1876-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40781400
—
WI
Enumeration date
07/02/2007
Last updated
07/08/2007
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