Provider Demographics
NPI:1871649434
Name:FUN IN SWIMMING INCORPORATED
Entity Type:Organization
Organization Name:FUN IN SWIMMING INCORPORATED
Other - Org Name:FINS
Other - Org Type:Other Name
Authorized Official - Title/Position:FACILITY PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:281-320-8821
Mailing Address - Street 1:7827 SPRING CYPRESS RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3116
Mailing Address - Country:US
Mailing Address - Phone:281-320-8821
Mailing Address - Fax:281-374-6766
Practice Address - Street 1:7827 SPRING CYPRESS RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3116
Practice Address - Country:US
Practice Address - Phone:281-320-8821
Practice Address - Fax:281-374-6766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty