Individual
JESSE SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1220 CAMINO DEL LLANO, BELEN, NM 87002-2727
(505) 861-1200
(505) 861-1220
Mailing address
535 HWY 314 SW, LOS LUNAS, NM 87031-9600
(505) 866-0055
(505) 866-0057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4915
NM
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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