Individual
KEVIN SWIEBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, CSCS
Contact information
Practice address
590 PIT RD, BROWNSBURG, IN 46112-7830
(317) 415-6040
Mailing address
590 PIT RD, BROWNSBURG, IN 46112-7830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015003A
IN
225100000X
Physical Therapist
10407
SC
Other
Enumeration date
09/10/2020
Last updated
12/12/2023
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