Individual
DARLA JEAN SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
165 PLAZA CT, KINGWOOD, WV 26537-1653
(304) 329-3908
(304) 329-3918
Mailing address
165 PLAZA CT, KINGWOOD, WV 26537-1653
(304) 329-3908
(304) 329-3918
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000131
WV
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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