Healthcare Provider Details

I. General information

NPI: 1639424500
Provider Name (Legal Business Name): SWETA B. CHANDRA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 EBENEZER RD
ROCK HILL SC
29732-1013
US

IV. Provider business mailing address

2198 HANGING ROCK RD APT C-2
FORT MILL SC
29715-0172
US

V. Phone/Fax

Practice location:
  • Phone: 803-366-8155
  • Fax:
Mailing address:
  • Phone: 704-620-7929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA0142500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: