Individual
AUTUMN SWANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3004 N WATER ST STE C, DECATUR, IL 62526-1960
(217) 233-0030
(217) 233-0331
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020332
IL
Other
Enumeration date
11/09/2015
Last updated
05/20/2019
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