Provider Demographics
NPI:1841909538
Name:SWOPE, ANDREA BRIANA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:BRIANA
Last Name:SWOPE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 94TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2657
Mailing Address - Country:US
Mailing Address - Phone:561-758-1084
Mailing Address - Fax:
Practice Address - Street 1:2600 DR MARTIN LUTHER KING JR ST N STE 200B
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-2744
Practice Address - Country:US
Practice Address - Phone:727-202-4625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT39566225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist