Individual
MRS. LAKEISHA NICOLE SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5106 BACK STRETCH BLVD, UPPER MARLBORO, MD 20772-2970
(301) 254-3611
Mailing address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21220
MD
Other
Enumeration date
08/23/2010
Last updated
04/28/2023
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