Individual
JESSICA SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3360 GATEWAY RD STE 100, BROOKFIELD, WI 53045-5115
(262) 923-7101
(262) 923-7101
Mailing address
N4156 PINE ST, BRODHEAD, WI 53520-9622
(608) 214-1750
(608) 214-1750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006103
IL
225X00000X
Occupational Therapist
3862-26
WI
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
10/27/2006
Last updated
05/07/2026
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