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Contact Information

CREATIVE SWIM THERAPY
307 SW GRIMALDO TER
PORT SAINT LUCIE, FL34984-4360
 Phone: 772-204-3977
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CREATIVE SWIM THERAPY

NPI Number 1669123501
LBN Legal business name CREATIVE SWIM THERAPY
Authorized official SYDNEY BELLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2022
Last updated 01/12/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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