Doctor Name: | KELLY SWANN |
NPI Number: | 1679976427 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 25283 |
Business Practice Address: | 598 Cynwood Dr Easton, MD - 216013875 |
Business Phone Number: | 4107709720 |
Business Fax Number: | 4107709972 |
Mailing Address: | 659 S Salisbury Blvd Ste 1b, SALISBURY |
State: | MD |
Postal Code: | 218015458 |
Phone Number: | 4108313226 |
Fax Number: | 4106770883 |
NPI Enumeration Date: | 10/07/2014 |
NPI Last Update Date: | 05/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 25283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |