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Individual

MRS. VICTORIA JORDAN SWOBODA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
635 S MAIN ST STE B, LEITCHFIELD, KY 42754-1056
(270) 287-0656
Mailing address
7006 BARTLETT RD, LOUISVILLE, KY 40218-2787
(502) 377-7479

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
170546
KY

Other

Enumeration date
11/03/2016
Last updated
11/03/2016
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