Individual
JENNIE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2620 EAGAN WOODS DR, EAGAN, MN 55121-1138
(651) 968-5201
(651) 968-5903
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107555
MN
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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