Individual
CHRISTIAN E SWISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
216 N 5TH ST, LAFAYETTE, IN 47901-2811
(765) 423-7988
Mailing address
3106 CEDAR LN, LAFAYETTE, IN 47905-3945
(765) 404-9937
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NO OTHER IDENTIFIERS
—
Enumeration date
12/21/2018
Last updated
12/21/2018
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