Individual
MARTHA J SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
(715) 386-6119
Mailing address
1941 170TH AVE, NEW RICHMOND, WI 54017-6904
(715) 246-9553
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1509
WI
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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