Individual
SAMUEL SWAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1456 MCLENDON DR STE B, DECATUR, GA 30033-1848
(404) 728-9766
Mailing address
PO BOX 94582, ATLANTA, GA 30377-1582
(480) 252-1244
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT007877
GA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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