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Organization
RISING TIDE PHYSICAL THERAPY LLC
Active
Organization
RISING TIDE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN TRIBIT MS, PT (MGMR)
(941) 706-1230
Entity
Organization
Contact information
Practice address
308 53RD AVE E STE B, BRADENTON, FL 34203-4706
(941) 739-0019
Mailing address
109 LAUREL RD E, NOKOMIS, FL 34275-5233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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