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Individual

JULIE ANN SWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
14640 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2698
(708) 403-5199
(708) 403-7274
Mailing address
14640 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2698
(708) 403-5199
(708) 403-7274

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
6940
AZ
2251X0800X
Orthopedic Physical Therapist
070013583
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123277
AZ
01
544307
HCA PROVIDER ID
AZ
Enumeration date
04/19/2007
Last updated
01/08/2009
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