Individual
JOHN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 THE STRAND, HERMOSA BEACH, CA 90254-5048
(608) 335-1096
Mailing address
222 THE STRAND, HERMOSA BEACH, CA 90254-5048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23410
CA
Other
Enumeration date
03/26/2015
Last updated
04/21/2022
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