Individual
SERIANN MARY SWIONTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186
Mailing address
17590 80TH ST SE, WAHPETON, ND 58075-9368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2279
ND
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480013
—
ND
Enumeration date
10/06/2016
Last updated
12/20/2023
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