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Individual

MR. ROBERT SWIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L, CHT

Contact information

Practice address
920 W IRONWOOD DR STE 207, COEUR D ALENE, ID 83814-2643
(208) 664-0575
(208) 664-0576
Mailing address
PO BOX 83, HAYDEN, ID 83835-0083
(208) 651-4551

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT-705
ID

Other

Enumeration date
07/30/2006
Last updated
01/25/2012
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