Individual
TERRA LEAHANN SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA, CLT
Contact information
Practice address
250 W INDIANTOWN RD STE 106, JUPITER, FL 33458-3549
(561) 768-9984
Mailing address
14105 CALOOSA BLVD, WEST PALM BEACH, FL 33418-8633
(561) 722-7510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16775
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA16775
PROFESSIONAL LICENSE
FL
Enumeration date
11/02/2018
Last updated
06/09/2022
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