Blue Tide Pediatric Therapy LLC
NPI #1114654431 in Destin, Florida
Provider Information
- NPI Number
- 1114654431
- Entity Type
- Organization
- Organization Name
- Blue Tide Pediatric Therapy LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 5, 2022
- Last Updated
- Jan 13, 2025
Practice Location
Authorized Official
- Name
- GARRETT OUTLAND, MA, CCC-SLP
- Title
- OWNER/SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (850) 964-6162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Massage Therapist |
| Speech-Language Pathologist |
| Clinic/Center |
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