Individual
SAMANTHA SWISTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1145 POQUONNOCK RD, GROTON, CT 06340-4698
(860) 446-9960
Mailing address
1145 POQUONNOCK RD, GROTON, CT 06340-4698
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00617
CT
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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