Most Relevant Information
Provider Data
| NPI Number: | 1003526195 |
| Provider Name: | BRIANNA SWAN PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/29/2022 |
| Last Updated: | 11/29/2022 |
Provider Practice Location
2673 DAVISSON RUN RD
CLARKSBURG
WV
263016838
Practice Location Phone/Fax
| Phone: | 3046242424 |
| Fax: |
Provider Mailing Location
151 NEW QUARTERS RD
MEADOWBROOK
WV
264048000
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |