Individual
ANDREW SWANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
20 W 5TH ST, PERU, IN 46970-2143
(765) 472-6001
Mailing address
2001 COLUMBUS BLVD, KOKOMO, IN 46901-1867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006208A
IN
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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