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NPI Code Detail

MEDICARE: PATRICIA HAYES SWANSON PT

MEDICARE: PATRICIA HAYES SWANSON PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT1028AR
2225100000XPhysical Therapist1028AR

General Provider Information

NPI Number : 1003423435
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA HAYES SWANSON PT
Provider Business Mailing Address
First Line : 2220 CLAPBOARD HILL RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72227-3015
Country : US
Telephone Number : 501-412-1767
Fax Number :
Provider Business Practice Location Address
First Line : 1401 LABELLE DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-2315
Country : US
Telephone Number : 501-444-2390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2020
Last Update Date : 09/29/2020

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Directions to “ PATRICIA HAYES SWANSON PT” Practice Location

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