Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT22590 | FL |
NPI | 1053579557 |
---|---|
Provider Name | Mrs. Marie Swaney Schaffnit |
First Address | Brandon, FL 33511-2311 |
Second Address | Brandon, FL 33510-4617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 30/05/2008 |