Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OP006789 | PA |
NPI | 1023304532 |
---|---|
Provider Name | Edward Andrew Swiger |
First Address | Lafayette Hill, PA 19444-2522 |
Second Address | Lafayette Hill, PA 19444-2522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2011 |
Last Update Date | 22/06/2011 |