Organization
ELEVATE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIE KILLEEN SWIDERSKI DPT (PHYSICAL THERAPIST)
(612) 325-6126
Entity
Organization
Contact information
Practice address
3554 W ORANGE COUNTRY CLUB DR STE 230, WINTER GARDEN, FL 34787-5306
(612) 325-6126
Mailing address
500 MAGUIRE PARK ST APT 211, OCOEE, FL 34761-4921
(612) 325-6126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851815823
NPI
FL
05
—
1851815823
—
MN
Enumeration date
06/29/2022
Last updated
10/22/2022
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