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NPI Code Detail

MEDICARE: MRS. SUSAN SWATEK PT

MEDICARE: MRS. SUSAN SWATEK 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 Therapist1056174TX

General Provider Information

NPI Number : 1700919636
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN SWATEK PT
Provider Business Mailing Address
First Line : 1125 RAINTREE CIR STE 100
Second Line :
City : ALLEN
State : TX
Zip : 75013-5289
Country : US
Telephone Number : 972-727-9995
Fax Number : 972-727-8350
Provider Business Practice Location Address
First Line : 1125 RAINTREE CIR STE 100
Second Line :
City : ALLEN
State : TX
Zip : 75013-5289
Country : US
Telephone Number : 972-727-9995
Fax Number : 972-727-8350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 03/20/2019

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Directions to “ MRS. SUSAN SWATEK PT” Practice Location

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