Individual
DIANA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4522 COUNTY RT 20, DURHAM, NY 12422-5205
(518) 239-6344
Mailing address
4522 COUNTY RT 20, DURHAM, NY 12422-5205
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
004791-1
NY
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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