Healthcare Provider Details

I. General information

NPI: 1487696902
Provider Name (Legal Business Name): MAUREEN SWIATEK MSPT, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAUREEN FOY

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 PRIDES XING STE 112
NEWARK DE
19713-6107
US

IV. Provider business mailing address

1602 NEWPORT GAP PIKE
WILMINGTON DE
19808-6208
US

V. Phone/Fax

Practice location:
  • Phone: 302-864-2222
  • Fax: 302-907-4028
Mailing address:
  • Phone: 302-633-5840
  • Fax: 302-633-5844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ10001211
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: