Individual
SAMANTHA KAREN SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
900 W 94TH ST, BLOOMINGTON, MN 55420-4206
(952) 885-0418
Mailing address
900 W 94TH ST, BLOOMINGTON, MN 55420-4206
(605) 291-9956
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106595
MN
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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