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NPI Code Detail

MEDICARE: MRS. MANDY CLAIRE SWOMIA OTR

MEDICARE: MRS. MANDY CLAIRE SWOMIA OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist3447-026WI

General Provider Information

NPI Number : 1942440938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MANDY CLAIRE SWOMIA OTR
Provider Business Mailing Address
First Line : 5266 THORSON RD
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-9751
Country : US
Telephone Number : 608-834-1716
Fax Number :
Provider Business Practice Location Address
First Line : 718 JUPITER DR
Second Line :
City : MADISON
State : WI
Zip : 53718-2950
Country : US
Telephone Number : 608-663-8859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2009
Last Update Date : 03/03/2009

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