Provider Demographics
NPI:1386135317
Name:SWENDSEN, DEANA MARIE (PT)
Entity type:Individual
Prefix:
First Name:DEANA
Middle Name:MARIE
Last Name:SWENDSEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DEANA
Other - Middle Name:MARIE
Other - Last Name:PASQUARELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:642 W NEW CASTLE ST
Mailing Address - Street 2:
Mailing Address - City:ZELIENOPLE
Mailing Address - State:PA
Mailing Address - Zip Code:16063-1049
Mailing Address - Country:US
Mailing Address - Phone:724-452-5700
Mailing Address - Fax:
Practice Address - Street 1:642 W NEW CASTLE ST
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-1049
Practice Address - Country:US
Practice Address - Phone:724-452-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010015L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist