Provider Demographics
NPI:1427462464
Name:SWIATKOWSKA, MARIA JOLANTA (PT)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:JOLANTA
Last Name:SWIATKOWSKA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1260 EAST STATE ROAD 205
Mailing Address - Street 2:PARKVIEW WHITLEY HOSPITAL
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725
Mailing Address - Country:US
Mailing Address - Phone:260-248-9530
Mailing Address - Fax:260-248-9136
Practice Address - Street 1:1260 EAST STATE ROAD 205
Practice Address - Street 2:PARKVIEW WHITLEY HOSPITAL
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725
Practice Address - Country:US
Practice Address - Phone:260-248-9530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05004465A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist