Tidal Sports Rehab & Recovery LLC
NPI #1588271324 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1588271324
- Entity Type
- Organization
- Organization Name
- Tidal Sports Rehab & Recovery LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Sep 25, 2020
- Last Updated
- Sep 25, 2020
Practice Location
- Address
- 138 LONG COVE LN
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28117-5827
- Phone
- (910) 546-5917
Authorized Official
- Name
- ASHLEY PATRICIA OROURKE, PT, DPT, ATC, LAT
- Title
- OWNER/PHYSICAL THERAPIST
- Phone
- (910) 546-5917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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