| NPI | 1902239825 |
|---|---|
| Former Name | KATHERINE SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9432) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 9432) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2015-02-09 |