NPI 1063511061

Tina Lorene Swanke, OTR

Practitioner Specialist Berlin, WI

Practice location

Address: 147 N State St, Berlin, WI 54923-1621
Phone: (920) 361-3515
Mailing address: N6681 County Rd N, Princeton, WI 54968-9323

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 729-026 (WI)

Other Specialist providers in Wisconsin →

Registry record

NPI: 1063511061
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.