Tides of Change Wellness Collaborative, LLC
NPI #1104590264 in Northfield, New Jersey
Provider Information
- NPI Number
- 1104590264
- Entity Type
- Organization
- Organization Name
- Tides of Change Wellness Collaborative, LLC
- Primary Specialty
- Neuromusculoskeletal Medicine & OMM
- Enumeration Date
- Aug 3, 2021
- Last Updated
- Aug 3, 2021
Practice Location
- Address
- 1423 TILTON RD STE 4
- City
- Northfield
- State
- New Jersey
- ZIP Code
- 08225-1857
- Phone
- (856) 332-1151
Authorized Official
- Name
- DR. LAUREN ASHLEY DAVIS, DO
- Title
- CO-OWNER / MEMBER
- Phone
- (856) 332-1151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neuromusculoskeletal Medicine & OMM |
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