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Organization

SHORE THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE WATT SLP (CEO)
(732) 857-4473
Entity
Organization

Contact information

Practice address
79 SHADY NOOK DR, TOMS RIVER, NJ 08755-5127
(732) 857-4473
(732) 847-4453
Mailing address
79 SHADY NOOK DR, TOMS RIVER, NJ 08755-5127
(732) 857-4473
(732) 847-4453

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00563600
NJ

Other

Enumeration date
04/20/2017
Last updated
03/07/2018
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