Provider Demographics
NPI:1790930931
Name:SWIFT, LESLIE WHITE (DPT)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:WHITE
Last Name:SWIFT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:ANN
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:659 S SALISBURY BLVD
Mailing Address - Street 2:STE 1B
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5458
Mailing Address - Country:US
Mailing Address - Phone:410-831-3226
Mailing Address - Fax:410-677-0883
Practice Address - Street 1:659 S SALISBURY BLVD
Practice Address - Street 2:STE 1B
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5458
Practice Address - Country:US
Practice Address - Phone:410-831-3226
Practice Address - Fax:410-677-0883
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0003342225100000X
MD22721225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE429419Y0XMedicare PIN