Provider Demographics
NPI:1497920607
Name:SWOGGER, AUBREY LYN (PT)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:LYN
Last Name:SWOGGER
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:RR 2 BOX 328A
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-9717
Mailing Address - Country:US
Mailing Address - Phone:814-742-7288
Mailing Address - Fax:
Practice Address - Street 1:RR 2 BOX 328A
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:PA
Practice Address - Zip Code:16686-9717
Practice Address - Country:US
Practice Address - Phone:814-742-7288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015199225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist