Individual
MS. VANESSA ROSE SWICKLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(317) 390-5590
(317) 486-2194
Mailing address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(630) 296-2222
(630) 759-6152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004502
PA
Other
Enumeration date
10/28/2011
Last updated
08/16/2015
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