Doctor Name: | MOLLY KAY SWENSON |
NPI Number: | 1003086372 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | |
Business Practice Address: | 6501 S Promontory Dr Chicago, IL - 606491003 |
Business Phone Number: | 7732565776 |
Business Fax Number: | |
Mailing Address: | 451 W Wrightwood Ave Apt 107, CHICAGO |
State: | IL |
Postal Code: | 606143092 |
Phone Number: | 2169655486 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2008 |
NPI Last Update Date: | 03/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |