Individual
JACQUELINE GRESHIK SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1675
Mailing address
3025 SEQUOIA AVE, SALT LAKE CITY, UT 84109-2326
(801) 484-6790
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
108401-4201
UT
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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