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Individual
MS. DONNA JEAN SWISHER
Active
Individual
MS. DONNA JEAN SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14508
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT145080
BLUE SHIELD
CA
01
—
127149500
DEPT OF LABOR OWCP
CA
01
—
330978151
TRICARE
CA
01
—
PT14508
LICENSE NUMBER
CA
Enumeration date
12/11/2006
Last updated
12/21/2016
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