Individual
CONNOR VERNON SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
521 W SAINT JOHN RD, PHOENIX, AZ 85023
(602) 579-6374
Mailing address
521 W SAINT JOHN RD, PHOENIX, AZ 85023-6583
(602) 579-6374
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
07/19/2021
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