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Individual

KELLY TERESA SWENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
2285 STEWART AVE APT 1318, SAINT PAUL, MN 55116-3154
(612) 964-2733

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10017
MN

Other

Enumeration date
08/11/2015
Last updated
08/11/2015
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