| NPI | 1114068244 |
|---|---|
| Former Name | REBECCA D SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 2315) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 3685) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2021-09-13 |