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NPI Code Detail

MEDICARE: SCOTT ANDREW SWANN PT

MEDICARE: SCOTT ANDREW SWANN PT
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
1225100000XPhysical Therapist9175CO
2225100000XPhysical Therapist2305005880VA

General Provider Information

NPI Number : 1952334484
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT ANDREW SWANN PT
Provider Business Mailing Address
First Line : 928 DIAMOND SPRINGS RD STE 103
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-6601
Country : US
Telephone Number : 757-395-1975
Fax Number :
Provider Business Practice Location Address
First Line : 928 DIAMOND SPRINGS RD STE 103
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-6601
Country : US
Telephone Number : 757-395-1975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 07/31/2024

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Directions to “ SCOTT ANDREW SWANN PT” Practice Location

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