Individual
KARRIE SWANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 GREEN RD, NEW SMYRNA BEACH, FL 32168-6308
(270) 556-4945
Mailing address
730 GREEN RD, NEW SMYRNA BEACH, FL 32168-6308
(270) 556-4945
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21142
FL
Other
Enumeration date
08/20/2020
Last updated
09/10/2020
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