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Organization
WAVE ACADEMY DBA HEALING WAVE AQUATICS
Active
Organization
WAVE ACADEMY DBA HEALING WAVE AQUATICS
Active
Other names
Healing Wave Aquatics
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BERG (EXECUTIVE DIRECTOR)
(619) 453-0953
Entity
Organization
Contact information
Practice address
2657 ARIANE DR, SAN DIEGO, CA 92117-3422
(619) 453-0953
Mailing address
2657 ARIANE DR, SAN DIEGO, CA 92117-3422
(619) 453-0953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/13/2024
Last updated
12/09/2025
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