Provider Demographics
NPI:1962687194
Name:SWANSON, SARA-ANN ELIZABETH (ATC, CMA(AAMA))
Entity Type:Individual
Prefix:MRS
First Name:SARA-ANN
Middle Name:ELIZABETH
Last Name:SWANSON
Suffix:
Gender:F
Credentials:ATC, CMA(AAMA)
Other - Prefix:MS
Other - First Name:SARA-ANN
Other - Middle Name:ELIZABETH
Other - Last Name:GALFO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:93 COUNTRY ACRES DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08827-4112
Mailing Address - Country:US
Mailing Address - Phone:973-727-0299
Mailing Address - Fax:
Practice Address - Street 1:93 COUNTRY ACRES DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08827-4112
Practice Address - Country:US
Practice Address - Phone:973-727-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0042302255A2300X
NJ25MT001437002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer