| NPI | 1255401493 |
|---|---|
| Former Name | BETH A SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10689-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070008950) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-10-19 |