Individual
JOANNE ELIZABETH SWIATEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 JACOBS GULCH RD, KELLOGG, ID 83837
(208) 784-1221
Mailing address
317 W RIVERSIDE AVE, KELLOGG, ID 83837-2146
(402) 616-2883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1551
ID
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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