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Individual

PATRICK G SWINEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1117 16TH AVE SE, DECATUR, AL 35601-3534
(256) 350-5707
Mailing address
1117 16TH AVE SE, DECATUR, AL 35601-3534

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
17921
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51530573
BLUECROSS BLUESHIELD OF A
AL
Enumeration date
11/15/2006
Last updated
12/02/2010
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