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Individual

CARLY ELIZABETH SWANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD,OTR/L

Contact information

Practice address
2579 OCEAN AVE, BROOKLYN, NY 11229-4552
(646) 780-0926
Mailing address
186 ORCHARD ST, NEW YORK, NY 10002-1426

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
030685
NY

Other

Enumeration date
10/21/2025
Last updated
10/21/2025
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