Individual
KIMBERLY K SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
845 S MAIN STREET, SUITE 120, FON DU LAC, WI 54935
(920) 322-0447
(920) 322-1362
Mailing address
845 S MAIN STREET, SUITE 120, FON DU LAC, WI 54935
(920) 322-0447
(920) 322-1362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1624-026
WI
Other
Enumeration date
09/03/2008
Last updated
03/01/2012
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