Individual
ALEXIS SWALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
901 CALEDONIA ST, LA CROSSE, WI 54603
(608) 785-4100
Mailing address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
5425-47
WI
Other
Enumeration date
05/30/2018
Last updated
10/25/2022
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