Individual
LARISSA SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
1020 N WENATCHEE AVE, WENATCHEE, WA 98801-1532
(509) 665-6049
Mailing address
507 BURKE AVE, UNIT A, LEAVENWORTH, WA 98826-1238
(970) 306-5210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
313375
OR
225X00000X
Occupational Therapist
Primary
3967
CO
225X00000X
Occupational Therapist
OT60644971
WA
Other
Enumeration date
06/18/2013
Last updated
10/01/2016
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