| Tidalhealth Pediatric Development And Therapy Llc | |
|
30265 Commerce Dr Unit 204 Millsboro DE 19966-3595 | |
| (704) 799-6824 | |
| (704) 799-6825 |
| Full Name | Tidalhealth Pediatric Development And Therapy Llc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 30265 Commerce Dr Unit 204, Millsboro, Delaware |
| Authorized Official Name and Position | Mallery Lowder (HR DIRECTOR) |
| Authorized Official Contact | 9804442770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidalhealth Pediatric Development And Therapy Llc 30265 Commerce Dr Unit 204 Millsboro DE 19966-3595 Ph: () - | Tidalhealth Pediatric Development And Therapy Llc 30265 Commerce Dr Unit 204 Millsboro DE 19966-3595 Ph: (704) 799-6824 |
| NPI Number | 1275369522 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275369522 | NPI | - | NPPES |
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