Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2208 | NV |
NPI | 1275099228 |
---|---|
Provider Name | Karmen M Swanson |
First Address | Reno, NV 89509-3683 |
Second Address | Reno, NV 89509-3683 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2019 |
Last Update Date | 14/02/2019 |