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NPI Code Detail

MEDICARE: DENISE V SWANSON DPT

MEDICARE: DENISE V 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
1225100000XPhysical TherapistPT00009821WA

General Provider Information

NPI Number : 1902128598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE V SWANSON DPT
Provider Business Mailing Address
First Line : 4215 W CONVENTION PLACE
Second Line : STE B
City : PASCO
State : WA
Zip : 99301
Country : US
Telephone Number : 509-545-1010
Fax Number : 509-545-1112
Provider Business Practice Location Address
First Line : 6825 BURDEN BLVD
Second Line : STE D
City : PASCO
State : WA
Zip : 99301-5633
Country : US
Telephone Number : 509-545-1010
Fax Number : 509-545-1112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2010
Last Update Date : 03/29/2018

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