Changing Tides Therapy LLC

NPI #1255688537 in Nantucket, Massachusetts

Provider Information

NPI Number: 1255688537
Entity Type: Organization
Organization Name: Changing Tides Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 6, 2012
Last Updated: Aug 6, 2012

Practice Location

Address: 10 WESTMOOR LN
City: Nantucket
State: Massachusetts
ZIP Code: 02554-2100
Phone: (508) 221-3259

Authorized Official

Name: SUZANNE GERARDI, PT
Title: OWNER
Phone: (508) 221-3259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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