Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | J10001211 | DE |
N | 2251H1200X | Hand |
NPI | 1487696902 |
---|---|
Provider Name | Maureen Swiatek |
First Address | Wilmington, DE 19808-6208 |
Second Address | Newark, DE 19713-6107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 14/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P59958 | (02) |