| NPI | 1508176025 |
|---|---|
| Former Name | AMBER M SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: SD 1510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1639) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2012-10-19 |