MEDICARE: MRS. BETH S SWANSON DPT

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
1	225100000X	Physical Therapist	3008	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013029610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETH S SWANSON DPT

Provider Business Mailing Address
First Line	:	108 CHESTER ST
Second Line	:
City	:	CHESTER
State	:	NH
Zip	:	03036-4333
Country	:	US
Telephone Number	:	603-553-0595
Fax Number	:	603-823-3284

Provider Business Practice Location Address
First Line	:	108 CHESTER ST
Second Line	:
City	:	CHESTER
State	:	NH
Zip	:	03036-4333
Country	:	US
Telephone Number	:	603-553-0595
Fax Number	:	603-823-3284

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	11/26/2013

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