Individual
KYLE SWIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1058 LIMERICK LN, FOREST, VA 24551-4049
(540) 769-9560
Mailing address
1058 LIMERICK LN, FOREST, VA 24551-4049
(540) 769-9560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005185
VA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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