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Organization
TRANSYLVANIA AQUATIC PHYSICAL THERAPY, INC.
Active
Organization
TRANSYLVANIA AQUATIC PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL ANNE DIETRICH P.T. (OWNER)
(828) 877-3877
Entity
Organization
Contact information
Practice address
COUNTRY CLUB ROAD, BREVARD, NC 28712
(828) 877-3877
(828) 877-5160
Mailing address
PO BOX 1531, BREVARD, NC 28712-1531
(828) 877-3877
(828) 877-5160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013FU
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
09/29/2006
Last updated
08/22/2020
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