Individual
LORI SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9317 VIENNA RD, MONTROSE, MI 48457-9729
(810) 639-6171
Mailing address
7801 ACORN CT, BIRCH RUN, MI 48415-9247
(989) 295-0272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005166
MI
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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