Organization
TIDAL THERAPY SOLUTIONS LLC
Active
Organization
TIDAL THERAPY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELE MARIE MCLEAN (OWNER)
(201) 403-5826
Entity
Organization
Contact information
Practice address
2761 NC HIGHWAY 210 E STE G102, HAMPSTEAD, NC 28443-8955
(910) 541-3636
(910) 928-2496
Mailing address
2761 NC HIGHWAY 210 E STE G, HAMPSTEAD, NC 28443-8956
(910) 541-3636
(910) 928-2496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/24/2022
Last updated
08/28/2026
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