Basic Information
| Provider Information | |||||||||
| NPI: | 1235181686 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SWOPE | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | L. | ||||||||
| NamePrefix: | |||||||||
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| Credential: | MPT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | RUCCI | ||||||||
| OtherFirstName: | REBECCA | ||||||||
| OtherMiddleName: | L. | ||||||||
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| OtherCredential: | MPT | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 790 E MARKET ST | ||||||||
| Address2: | STE 290 | ||||||||
| City: | WEST CHESTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193824806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6106963305 | ||||||||
| FaxNumber: | 6106963306 | ||||||||
| Practice Location | |||||||||
| Address1: | 790 E MARKET ST | ||||||||
| Address2: | SUITE 290 | ||||||||
| City: | WEST CHESTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193824806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6106963305 | ||||||||
| FaxNumber: | 6106963306 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 10/30/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT015762 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.