Organization
WATER WORKS AQUATIC PHYSICAL THERAPY INC
Active
Other names
Water Woks Total Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE HALFHILL (OWNER/CEO)
(330) 702-0110
Entity
Organization
Contact information
Practice address
999 TRAIL TERRACE DR, SUITE A, NAPLES, FL 34103-2329
(239) 649-2222
(239) 649-0522
Mailing address
510 W MAIN ST STE B, CANFIELD, OH 44406-1454
(330) 702-0110
(330) 702-0510
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
HCC4645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RJ5
BC/BS
FL
Enumeration date
08/09/2006
Last updated
01/23/2018
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