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General NPI Number Information
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NPI Number | 1982025094
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Entity Type | Organization
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Legal Business Name | SWIATEK PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 4498 MAIN ST SUITE 24
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City | AMHERST
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State | NY
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Zip | 14226-3826
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Country | US
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Telephone | 716-839-1550
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Fax | 716-839-1696
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Provider Business Mailing Address
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Address Line | 4498 MAIN ST SUITE 24
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City | AMHERST
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State | NY
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Zip | 14226-3826
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Country | US
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Telephone | 716-839-1550
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Fax | 716-839-1696
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | NICOLE MARIE SWIATEK
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Credential | PT
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Telephone | 716-907-2791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 0284781
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License Number State | NY
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