Individual
CARRIE M SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1504 13TH AVE, MOLINE, IL 61265-3113
(309) 762-9552
Mailing address
1504 13TH AVE, MOLINE, IL 61265-3113
(309) 762-9552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.13487
IL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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