Individual
REBECCA NELSON SWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
500 7TH AVE S, ST PETERSBURG, FL 33701-4820
(727) 767-8065
Mailing address
500 7TH AVE S, ST. PETERSBURG, FL 33701-6106
(727) 767-8065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT008402
GA
2251P0200X
Pediatric Physical Therapist
Primary
PT24601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10047152
—
GA
05
—
337214
—
GA
05
—
516296383A
—
GA
01
—
52187853
BLUE CROSS BLUE SHEILD
GA
Enumeration date
01/15/2007
Last updated
04/02/2009
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