Individual
ALICIA ANN SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
2814 CAMINO DOS RIOS STE 406, NEWBURY PARK, CA 91320-1156
(805) 375-1461
(805) 498-7613
Mailing address
2814 CAMINO DOS RIOS STE 406, NEWBURY PARK, CA 91320-1156
(805) 375-1461
(805) 498-7613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WPT26132A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT26132A
P.T. L:ICENSE
CA
Enumeration date
09/25/2006
Last updated
07/08/2007
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