Doctor Name: | ANGELA SWAN |
NPI Number: | 1699042598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 60223 |
Business Practice Address: | 8840 Terrene Ct Unit 101 Bonita Springs, FL - 341359533 |
Business Phone Number: | 2396921544 |
Business Fax Number: | |
Mailing Address: | 27004 Adriana Cir, #201 BONITA SPRINGS |
State: | FL |
Postal Code: | 341356549 |
Phone Number: | 2396921544 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2011 |
NPI Last Update Date: | 11/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 60223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |