# KEVIN SWANON, PT P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Plaza Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407131410
- **Authorized official:** MR. KEVIN SWANSON PT (OWNER)
- **Authorized official phone:** (563) 344-6645

## Contact information

- **Practice address:** 3385 DEXTER CT, SUITE 301, DAVENPORT, IA 52807-3494
- **Practice address phone:** (563) 344-6645
- **Practice address fax:** (563) 441-7796
- **Mailing address:** 3385 DEXTER CT, SUITE 301, DAVENPORT, IA 52807-3494
- **Mailing address phone:** (563) 344-6645
- **Mailing address fax:** (563) 441-7796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 10/21/2011