Organization
CHANGING TIDES THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE GERARDI PT (OWNER)
(508) 221-3259
Entity
Organization
Contact information
Practice address
10 WESTMOOR LN, NANTUCKET, MA 02554-2100
(508) 221-3259
Mailing address
PO BOX 3316, NANTUCKET, MA 02584-3316
(508) 221-3259
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16225
MA
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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