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NPI Code Detail

MEDICARE: LON SWATCHICK

MEDICARE: LON SWATCHICK
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 TherapistPT40011FL
2225100000XPhysical TherapistPT008193LPA

Other Identifiers

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

General Provider Information

NPI Number : 1316191828
Entity Type Code : Individual
Provider Name (Legal Business Name) : LON SWATCHICK
Provider Business Mailing Address
First Line : 1500 VILLAGE RUN RD STE 3067
Second Line : SUITE 306307
City : WEXFORD
State : PA
Zip : 15090-6316
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 712 CHENEY HWY
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-6959
Country : US
Telephone Number : 321-269-8155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2008
Last Update Date : 07/11/2025

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Directions to “ LON SWATCHICK ” Practice Location

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