Organization
RISING TIDE THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RICHARDS OTR/L (OCCUPATIONAL THERAPIST)
(603) 512-2043
Entity
Organization
Contact information
Practice address
10 WIGGIN DR, NEWMARKET, NH 03857-2110
(603) 512-2043
Mailing address
10 WIGGIN DR, NEWMARKET, NH 03857-2110
(603) 512-2043
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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