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Organization

AQUATIC CARE PROGRAMS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRISHA BIASOTTI (MANAGER)
(713) 454-6004
Entity
Organization

Contact information

Practice address
8405 WYNBROOK ST, HOUSTON, TX 77061
(713) 454-6000
(713) 454-6084
Mailing address
8405 WYNBROOK ST, HOUSTON, TX 77061
(713) 454-6000
(713) 454-6084

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
89923T
BCBS OF TX
TX
01
8T4426
BCBS OF TX
TX
01
U67X
BCBS
TX
Enumeration date
08/08/2006
Last updated
02/25/2008
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