Most Relevant Information
Provider Data
| NPI Number: | 1003040049 |
| Provider Name: | NICHOLAS B SWANNER MPT, GCS |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 008351 |
Most Important Dates
| Enumeration Date: | 05/05/2009 |
| Last Updated: | 12/24/2019 |
Provider Practice Location
1000 APPLEWOOD DR
BROOKDALE THERAPY
ROSWELL
GA
300761395
Practice Location Phone/Fax
| Phone: | 4049718544 |
| Fax: | 4149186046 |
Provider Mailing Location
1000 APPLEWOOD DR
BROOKDALE THERAPY
ROSWELL
GA
300761395
Provider Mailing Phone/Fax
| Phone: | 4049718544 |
| Fax: | 4149186046 |