Most Relevant Information
Provider Data
| NPI Number: | 1003072992 |
| Provider Name: | MARTHA J SWANSON PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 1509 |
Most Important Dates
| Enumeration Date: | 07/31/2008 |
| Last Updated: | 07/31/2008 |
Provider Practice Location
2705 ENLOE ST
HUDSON
WI
540168173
Practice Location Phone/Fax
| Phone: | 7153862128 |
| Fax: | 7153866119 |
Provider Mailing Location
1941 170TH AVE
NEW RICHMOND
WI
540176904
Provider Mailing Phone/Fax
| Phone: | 7152469553 |
| Fax: |