Individual
SHANNON MICHELLE SWIDERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 DUNLAWTON AVE STE 4, PORT ORANGE, FL 32127-9284
(386) 446-9935
Mailing address
808 DUNLAWTON AVE STE 4, PORT ORANGE, FL 32127-9284
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17656
FL
Other
Enumeration date
09/07/2020
Last updated
03/09/2026
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