Provider Demographics
NPI:1295288694
Name:SWAIN, HEATHER (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:SWAIN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:ZAPPALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:4804 N ARVILLA DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-1008
Mailing Address - Country:US
Mailing Address - Phone:419-969-3608
Mailing Address - Fax:419-298-9012
Practice Address - Street 1:4804 N ARVILLA DRIVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623
Practice Address - Country:US
Practice Address - Phone:419-969-3608
Practice Address - Fax:419-298-9012
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12361225100000X
OH019431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist