Provider Demographics
NPI:1588301931
Name:ABNAVE, SWATI (PT)
Entity type:Individual
Prefix:
First Name:SWATI
Middle Name:
Last Name:ABNAVE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 TALL MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6402
Mailing Address - Country:US
Mailing Address - Phone:267-770-5845
Mailing Address - Fax:
Practice Address - Street 1:1609 WOODBOURNE RD STE 203B
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1538
Practice Address - Country:US
Practice Address - Phone:215-945-0100
Practice Address - Fax:215-945-0103
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT030342225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT030342OtherSTATE LICENSE