Swick & Jones Pedorthic Lab, LLC

NPI #1932135415 in Dayton, Ohio

Provider Information

NPI Number: 1932135415
Entity Type: Organization
Organization Name: Swick & Jones Pedorthic Lab, LLC
Primary Specialty: Specialist
Enumeration Date: Jun 24, 2006
Last Updated: Feb 14, 2008

Practice Location

Address: 617 WATERVLIET AVE
City: Dayton
State: Ohio
ZIP Code: 45420-2544
Phone: (937) 256-3668

Authorized Official

Name: REGINA M SWICKARD, C. PED
Title: OWNER
Phone: (937) 256-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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