Organization
HIGH TIDE PEDIACTRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JO-ANN CEREMUGA DPT (PHYSICAL THERAPIST)
(814) 282-7499
Entity
Organization
Contact information
Practice address
3909 SAWMILL CT, AWENDAW, SC 29429-5704
(814) 282-7499
Mailing address
3909 SAWMILL CT, AWENDAW, SC 29429-5704
(814) 282-7499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/13/2023
Last updated
01/19/2026
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