| Organization Name: | AQUATIC HEALTH AND REHABILITATION SERVICES INC |
| NPI Number: | 1831294412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TEREASA DIANNE SHEPHERD (PRESIDENT) |
| Mailing Address: | 595 N Courtenay Pkwy #203 Merritt Island |
| State: | FL US |
| Postal Code: | 329534851 |
| Phone Number: | 3214538484 |
| Fax Number: | 3214538448 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 07/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |