Individual
MR. MATTHEW SCOTT SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
61188 GREENWOOD DR, SOUTH LYON, MI 48178-1702
(248) 379-0107
Mailing address
61188 GREENWOOD DR, SOUTH LYON, MI 48178-1702
(248) 379-0107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006034
MI
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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