Healthcare Provider Details

I. General information

NPI: 1376011726
Provider Name (Legal Business Name): JENNIFER L SWARTZ PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER S GRAHAM PT

II. Dates (important events)

Enumeration Date: 11/04/2018
Last Update Date: 07/12/2021
Certification Date: 07/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 WALNUT ST
COSHOCTON OH
43812-1531
US

IV. Provider business mailing address

353 WALNUT ST
COSHOCTON OH
43812-1531
US

V. Phone/Fax

Practice location:
  • Phone: 740-295-7080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: