Individual
MS. MARTHA ANNE SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
900 S 8TH ST, B3.030, MINNEAPOLIS, MN 55404-1204
(612) 873-4377
(612) 904-4377
Mailing address
5475 CARLSON RD, SAINT PAUL, MN 55126-1216
(651) 484-5821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5461
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5461
PHYSICAL THERAPY LICENCE
MN
Enumeration date
12/12/2006
Last updated
03/21/2011
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