Individual
MRS. THERESE DOLORES SWIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5803
(414) 615-0665
(414) 615-0067
Mailing address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5803
(414) 615-0665
(414) 615-0067
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1561 027
WI
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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