| NPI | 1780468744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA LEIGH SWANSON Owner/Physical Therapist 267-664-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2025-09-12 |