Individual
JUSTIN MICHAEL SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2014 S TOLLGATE RD, STE 106, BEL AIR, MD 21015-5903
(410) 515-1260
Mailing address
2014 S TOLLGATE RD, STE 106, BEL AIR, MD 21015-5903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23698
MD
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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