Individual
LISA SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13121 E 17TH AVE, AURORA, CO 80045-2535
(303) 724-5266
(303) 724-7664
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4867
CO
225100000X
Physical Therapist
Primary
PTL.0004867
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40525368
—
CO
Enumeration date
10/25/2006
Last updated
10/18/2018
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