DEREK HAROLD SWENSON

SAINT CLOUD, MN
NPI1407232176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2015-08-05
Last Update Date2015-08-05
Business Address
-- DEREK HAROLD SWENSON
1894 37TH ST SE
SAINT CLOUD, MN 56304-9508
Phone number: 612-708-3059
Mailing Address
-- DEREK HAROLD SWENSON
PO BOX 953
BRAINERD, MN 56401-0953
Phone number: 612-708-3059
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