Individual
MRS. LORRAINE BRICK SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 FRANKLIN AVE, SEAFORD, NY 11783-2300
(516) 826-1112
Mailing address
3905 FRANKLIN AVE, SEAFORD, NY 11783-2300
(516) 826-1112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006778-1
NY
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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