MEDICARE: MRS. DEBRA SZALWINSKI PT, CERT MDT

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	2305002468	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	650004998	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	298498	OTHER	VA	BCBS PHYSICAL THERAPY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5698086	OTHER	VA	AETNA

General Provider Information

NPI Number	:	1679533103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBRA SZALWINSKI PT, CERT MDT

Provider Business Mailing Address
First Line	:	771 PILOT HOUSE DRIVE
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606
Country	:	US
Telephone Number	:	757-873-2302
Fax Number	:	757-873-2306

Provider Business Practice Location Address
First Line	:	204 GUMWOOD DR
Second Line	:
City	:	SMITHFIELD
State	:	VA
Zip	:	23430-6087
Country	:	US
Telephone Number	:	757-357-7762
Fax Number	:	757-357-7765

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	01/16/2011

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Directions to “ MRS. DEBRA SZALWINSKI PT, CERT MDT” Practice Location

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