Individual
MRS. MICHELLE LYNN SWYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
174 BALLPARK RD, VIENNA, MO 65582-8043
(573) 422-3177
Mailing address
767 HIGHWAY M, STEELVILLE, MO 65565-5019
(573) 775-5639
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011006718
MO
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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