| Water Blue Therapy | |
|
3443 146th St Toledo OH 43611-2513 | |
| (419) 217-2122 | |
| Not Available |
| Full Name | Water Blue Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3443 146th St, Toledo, Ohio |
| Authorized Official Name and Position | Kellie Renee Cousino (CEO) |
| Authorized Official Contact | 4192172122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Water Blue Therapy 3443 146th St Toledo OH 43611-2513 Ph: (419) 217-2122 | Water Blue Therapy 3443 146th St Toledo OH 43611-2513 Ph: (419) 217-2122 |
| NPI Number | 1003549270 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003549270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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