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Organization
HEALING FOUNDATIONS PHYSICAL THERAPY, LLC
Active
Organization
HEALING FOUNDATIONS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ANN CIAVERELLI PT (OWNER)
(512) 814-6526
Entity
Organization
Contact information
Practice address
6810 PONCHA PASS, AUSTIN, TX 78749-4370
(512) 814-6526
(512) 265-2148
Mailing address
6810 PONCHA PASS, AUSTIN, TX 78749
(512) 814-6526
(512) 265-2148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1149167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538292719
BCBS PROVIDER #: 8T6544
TX
Enumeration date
06/04/2014
Last updated
06/04/2014
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