Female

Inna Swann PHYSICAL THERAPIST

Physical Therapist in Hattiesburg, MS(View on Map)

Full Name

Inna Swann PHYSICAL THERAPIST

NPI Number

1205991064

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/22/2006

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Arkansas
Mississippi

License Number

PT2564
4451

Contact
Information

Purpose

Mailing
Location

Address

7 WILLOW BEND DR
7 WILLOW BEND DR

City

Hattiesburg
Hattiesburg

State

MS
MS

Postal Code

39402-8552
39402-8552

Country

US
US

Telephone Number

(501) 908-5216
(501) 908-5216

Identifiers

Identifier

145581721
5X297

Identifier State

AR
AR

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/07/2009

Provider Address

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