MEDICARE: MRS. GRETA CAROL SWASEY-HADLOCK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5191	AZ

General Provider Information

NPI Number	:	1386591717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GRETA CAROL SWASEY-HADLOCK

Provider Business Mailing Address
First Line	:	3066 E COTTON LN
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-6393
Country	:	US
Telephone Number	:	602-481-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	3066 E COTTON LN
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-6393
Country	:	US
Telephone Number	:	602-481-6376
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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