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NPI Code Detail

MEDICARE: JOANNA SWIFT MA, MT-BC

MEDICARE:   JOANNA  SWIFT  MA, MT-BC
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
1225A00000XMusic Therapist09930PA

General Provider Information

NPI Number : 1740629807
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA SWIFT MA, MT-BC
Provider Business Mailing Address
First Line : 7410 SPRING VILLAGE DR
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22150-4485
Country : US
Telephone Number : 703-923-3141
Fax Number :
Provider Business Practice Location Address
First Line : 7410 SPRING VILLAGE DR
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22150-4485
Country : US
Telephone Number : 703-923-3141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2013
Last Update Date : 06/21/2013

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Directions to “ JOANNA SWIFT MA, MT-BC” Practice Location

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