High Tide Pediactric Therapy LLC

NPI #1902670789 in Awendaw, South Carolina

Provider Information

NPI Number: 1902670789
Entity Type: Organization
Organization Name: High Tide Pediactric Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 13, 2023
Last Updated: Jan 19, 2026

Practice Location

Address: 3909 SAWMILL CT
City: Awendaw
State: South Carolina
ZIP Code: 29429-5704
Phone: (814) 282-7499

Authorized Official

Name: JESSICA JO-ANN CEREMUGA, DPT
Title: PHYSICAL THERAPIST
Phone: (814) 282-7499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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