Individual
MRS. JANICE MARIE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1311 N 7TH AVE E, DULUTH, MN 55805-1155
(218) 724-8712
Mailing address
1311 N 7TH AVE E, DULUTH, MN 55805-1155
(218) 724-8712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4038
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7B195SW
BCBS
MN
Enumeration date
09/03/2008
Last updated
09/03/2008
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