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Individual

KATHLEEN ANN SWIFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2514 N 7TH ST, COEUR D ALENE, ID 83814-3720
(208) 664-8128
Mailing address
PO BOX 1095, RATHDRUM, ID 83858-1095
(208) 561-1309

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 00002264
WA
225X00000X
Occupational Therapist
Primary
OT-764
ID

Other

Enumeration date
01/29/2013
Last updated
01/29/2013
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