Individual
MEGAN BREANNE SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60290
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330368
WA L&I
OR
01
—
0330369
WA L&I
OR
01
—
0330372
WA L&I
OR
05
—
1437581170
—
OR
05
—
500661176
—
OR
01
—
P01519085
RR MEDICARE
OR
Enumeration date
08/05/2013
Last updated
11/06/2015
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