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Individual

WILLIAM TREVOR SWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 285-3734
(304) 285-3738
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 285-3734
(304) 285-3738

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000952
WV
225100000X
Physical Therapist
PT003391L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015399000
WV
Enumeration date
06/16/2006
Last updated
10/25/2013
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