NPI 1063779486

Jillian M Swazey, LCO

Practitioner Orthotist Fort Worth, TX

Practice location

Address: 1719 8th Ave, Fort Worth, TX 76110-1349
Phone: (682) 885-6294
Fax: (682) 885-1135
Mailing address: PO Box 99283, Fort Worth, TX 76199-1383

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1508 (TX)

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Registry record

NPI: 1063779486
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2012
Record last updated: 23 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.