Organization
SWEARINGEN PHYSICAL THERAPY LLC
Active
Other names
In Home Rehab Northern New Mexico
Organization subpart
No
Provider details
NPI number
Authorized official
FONTAINE SCOTT SWEARINGEN (OWNER)
(505) 466-3199
Entity
Organization
Contact information
Practice address
29 DOMINGO RD, SANTA FE, NM 87508-8256
(505) 466-3199
Mailing address
29 DOMINGO RD, SANTA FE, NM 87508-8256
(505) 466-3199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1162
NM
Other
Enumeration date
07/05/2012
Last updated
07/09/2012
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