Individual
CARRIE CIAVERELLI
Active
Individual
CARRIE CIAVERELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1149167
TX
2251P0200X
Pediatric Physical Therapist
1149167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T6544
BCBS PROVIDER #
TX
Enumeration date
03/14/2007
Last updated
01/18/2011
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