Individual
MS. LAURA L. SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
765 N KELLOGG ST, 3RD FLOOR, GALESBURG, IL 61401-2875
(309) 343-3434
(309) 343-3456
Mailing address
765 N KELLOGG ST, 3RD FLOOR, GALESBURG, IL 61401-2875
(309) 343-3434
(309) 343-3456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002969
IL
Other
Enumeration date
07/18/2005
Last updated
12/31/2013
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