Individual
JEREMY JOSEPH SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 SE FLOWER MOUND RD, LAWTON, OK 73501-6388
(580) 351-6511
Mailing address
2205 MEADOW LARK DR, DUNCAN, OK 73533-1313
(580) 678-8436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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