Individual
JOLENE RAE SWAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5379 383RD ST, NORTH BRANCH, MN 55056-4962
(651) 237-3000
Mailing address
2172 STATION PKWY NW, ANDOVER, MN 55304-4260
(763) 755-5321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7442
MN
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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