Provider Demographics
NPI:1043258627
Name:SWEIGERT, MARCIE ANN (PT)
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:ANN
Last Name:SWEIGERT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:190 GOLDENS BRIDGE RD
Mailing Address - Street 2:KATONAH PHYSICAL THERAPY PC
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2804
Mailing Address - Country:US
Mailing Address - Phone:914-232-3306
Mailing Address - Fax:914-232-4862
Practice Address - Street 1:190 GOLDENS BRIDGE RD
Practice Address - Street 2:KATONAH PHYSICAL THERAPY PC
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2804
Practice Address - Country:US
Practice Address - Phone:914-232-3306
Practice Address - Fax:914-232-4862
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0084101225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ68761Medicare ID - Type Unspecified