Individual
AMY J SWISTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, ATC
Contact information
Practice address
1968 BRUIN PL, CHESAPEAKE, VA 23321-4576
(757) 638-7900
Mailing address
746 S LAKE CIR, CHESAPEAKE, VA 23322-8365
(757) 646-1897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001089
VA
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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