Individual
MR. TIMOTHY SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(866) 334-1919
Mailing address
4427 TREE LINE DR, PASADENA, TX 77505-3926
(281) 991-4780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2088290
TX
Other
Enumeration date
11/09/2012
Last updated
11/12/2012
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