Individual
MRS. JENNA MARIE SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1625 RADIO DR STE 220, WOODBURY, MN 55125
(651) 241-3636
Mailing address
1625 RADIO DR STE 220, WOODBURY, MN 55125-9476
(651) 241-3636
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
9041
MN
Other
Enumeration date
07/24/2012
Last updated
04/02/2020
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