| Creative Swim Therapy | |
|
307 Sw Grimaldo Ter Port Saint Lucie FL 34984-4360 | |
| (772) 204-3977 | |
| Not Available |
| Full Name | Creative Swim Therapy |
|---|---|
| Speciality | Psychologist - Exercise & Sports |
| Location | 307 Sw Grimaldo Ter, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Sydney Belle (OWNER) |
| Authorized Official Contact | 7722043977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Swim Therapy 307 Sw Grimaldo Ter Port Saint Lucie FL 34984-4360 Ph: (772) 204-3977 | Creative Swim Therapy 307 Sw Grimaldo Ter Port Saint Lucie FL 34984-4360 Ph: (772) 204-3977 |
| NPI Number | 1669123501 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669123501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Primary |
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