MICAH J SWIFT

FOND DU LAC, WI
NPI1932413382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  11516-024)
Enumeration Date2010-07-27
Last Update Date2010-07-27
Business Address
-- MICAH J SWIFT PT
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-5353
Mailing Address
-- MICAH J SWIFT PT
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-5353
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