Organization
FUNCTIONAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON SWANSON MS, OTR/L (OCCUPATIONAL THERAPIST)
(678) 773-9564
Entity
Organization
Contact information
Practice address
305 DUNWOODY CHACE, SANDY SPRINGS, GA 30328-4587
(678) 773-9564
Mailing address
PO BOX 6826, MINNEAPOLIS, MN 55406-0826
(678) 773-9564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006296
GA
Other
Enumeration date
11/26/2016
Last updated
11/03/2021
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