Provider Demographics
NPI:1275099665
Name:GULWANI, SWATI (PT)
Entity Type:Individual
Prefix:
First Name:SWATI
Middle Name:
Last Name:GULWANI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4285 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-2919
Mailing Address - Country:US
Mailing Address - Phone:850-482-0080
Mailing Address - Fax:866-630-5149
Practice Address - Street 1:4285 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-2919
Practice Address - Country:US
Practice Address - Phone:850-482-0080
Practice Address - Fax:866-630-5149
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT34210208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation