Individual
GLEN CARLOS SWOOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
633 HAWKINS WAY, SANTA MARIA, CA 93455-7427
(805) 598-6982
Mailing address
633 HAWKINS WAY, SANTA MARIA, CA 93455-7427
(805) 598-6982
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT24029
CA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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