Individual
MRS. ANGIE RAE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
4010 W 65TH ST, EDINA, MN 55435-1706
(952) 456-7004
(952) 456-7598
Mailing address
4010 W 65TH ST, EDINA, MN 55435-1706
(952) 456-7004
(952) 456-7598
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6331
MN
Other
Enumeration date
06/23/2005
Last updated
01/11/2012
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