MRS. LAKEISHA NICOLE SWAN


Address: 5106 Back Stretch Blvd, Upper Marlboro, MD 20772-2970
Phone: 3012543611

MRS. LAKEISHA NICOLE SWAN (NPI# 1417263849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417263849
Entity Type Individual
Full Name MRS. LAKEISHA NICOLE SWAN
Credential PT
Practice Address 5106 Back Stretch Blvd
Upper Marlboro
MD 20772-2970
Practice Telephone 3012543611
Mailing Telephone 3012543611
Enumeration Date 2010-08-23
Last Update Date 2010-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251G0304X Physical Therapist
Specialization: Geriatrics
21220 MD Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 5106 BACK STRETCH BLVD
City UPPER MARLBORO
State MD
Zip Code 20772-2970

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1932668134 Dentistry for Children of Maryland, LLC Clinic/Center 9616 Marlboro Pike, Upper Marlboro, MD 20772 2019-03-18
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1902391261 Myenne Hanson Home Health Aide 5002 Ashford Dr, Upper Marlboro, MD 20772 2018-06-28
1659884849 Clement Okehie Home Health Aide 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 2017-11-09
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Taxonomy Information

Taxonomy Code 2251G0304X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Geriatrics

Taxonomy Definition

Definition to come...

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1740715168 Olugbolahan Anifowose Physical Therapist 669 Wilbur Sq, Owings Mills, MD 21117-2479 2017-04-23
1720439714 Margaret Henry Physical Therapist 5708 Stonington Ave, Baltimore, MD 21207-6859 2016-06-30
1255781407 Rodel Dapul Physical Therapist 5500 Overlook Cir, White Marsh, MD 21162-3414 2016-06-20
1073926598 Sheetal Khadsare Physical Therapist 8560 2nd Ave, Apt 1010, Silver Spring, MD 20910-6300 2014-06-03
1649600032 April Hilario Physical Therapist 8433 Winding Trl, Laurel, MD 20724-1435 2013-11-20
1689002388 Calice Warlock Physical Therapist 6951 Mayfair Ter, Laurel, MD 20707-5215 2013-10-16
1417200338 Leo B Ropeta Physical Therapist 4705 Miltfred Terrace, Rockville, MD 20853 2012-10-16
1629323894 Onyango E Nyunja Physical Therapist 7808 Polara Pl, Rockville, MD 20855-2044 2012-07-13
1154651842 Jennifer Rogofsky Physical Therapist 6110 Timothy Ct, Columbia, MD 21044-3861 2010-01-03
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Competitor

Search similar providers

City UPPER MARLBORO
Zip Code 20772

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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