Individual
NANCY LAURIE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L/PTA
Contact information
Practice address
3450 WIMBLEDON DR, PENSACOLA, FL 32504-4503
Mailing address
3450 WIMBLEDON DR, PENSACOLA, FL 32504-4503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23210
FL
Other
Enumeration date
06/08/2017
Last updated
10/02/2017
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