Provider Demographics
NPI:1326819053
Name:SWETTER-JONES, STEPHANIE
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SWETTER-JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7818 SR 374
Mailing Address - Street 2:
Mailing Address - City:CLIFFORD TWP
Mailing Address - State:PA
Mailing Address - Zip Code:18470
Mailing Address - Country:US
Mailing Address - Phone:570-241-6731
Mailing Address - Fax:
Practice Address - Street 1:7818 SR 374
Practice Address - Street 2:
Practice Address - City:CLIFFORD TWP
Practice Address - State:PA
Practice Address - Zip Code:18470
Practice Address - Country:US
Practice Address - Phone:570-241-6731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-1628225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant