Swan, Alicia Ann
Swan, Alicia Ann is an individual health care provider with primary practice located at 2814 Camino Dos Rios Ste 406 , Newbury Park CA 91320-1156. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Swan, Alicia Ann can be contacted via phone (805) 375-1461.Contact Information
Primary practice address
2814 Camino Dos Rios Ste 406
Newbury Park CA 91320-1156
Phone: (805) 375-1461
Fax: (805) 498-7613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | WPT26132A | California |
Profile Details
| NPI number | 1578663688 |
|---|---|
| LBN Legal business name | Swan, Alicia Ann |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578663688 | NPPES |
| California | Other | WPT26132A | P.T. L:ICENSE |
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