Healthcare Provider Details

I. General information

NPI: 1447929252
Provider Name (Legal Business Name): MORIAH SWENSON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CENTENNIAL BLVD STE 203
VOORHEES NJ
08043-4637
US

IV. Provider business mailing address

1311 MAMARONECK AVE STE 140
WHITE PLAINS NY
10605-5224
US

V. Phone/Fax

Practice location:
  • Phone: 856-325-6677
  • Fax:
Mailing address:
  • Phone: 888-830-4125
  • Fax: 631-580-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02030700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: