Provider Demographics
NPI:1346007887
Name:SWENSON, ALYSSA (OTR)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:SWENSON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2951 STATE ROAD 87
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:WI
Mailing Address - Zip Code:54006-3210
Mailing Address - Country:US
Mailing Address - Phone:715-557-0454
Mailing Address - Fax:
Practice Address - Street 1:2951 STATE ROAD 87
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:WI
Practice Address - Zip Code:54006-3210
Practice Address - Country:US
Practice Address - Phone:715-557-0454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist