Individual
JENNA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
304 JUDD PLACE DR, FUQUAY VARINA, NC 27526-2386
(919) 557-8305
(919) 578-8780
Mailing address
304 JUDD PLACE DR, FUQUAY VARINA, NC 27526-2386
(919) 557-8305
(919) 578-8780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12745
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212790
—
NC
Enumeration date
07/21/2010
Last updated
12/07/2022
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