Individual
KYLE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT, ATC
Contact information
Practice address
4033 LINGLESTOWN RD, HARRISBURG, PA 17112-1153
(717) 920-5002
Mailing address
6959 WERTZVILLE RD, ENOLA, PA 17025-1039
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126002025
VA
225X00000X
Occupational Therapist
Primary
OC018314
PA
Other
Enumeration date
12/04/2014
Last updated
12/05/2022
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