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1588271324
TIDAL SPORTS REHAB & RECOVERY LLC
MOORESVILLE, NC
NPI
1588271324
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Entity Type
Organization
Authorized Contact
ASHLEY PATRICIA OROURKE
Owner/Physical Therapist
910-546-5917
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-09-25
Last Update Date
2020-09-25
Business Address
TIDAL SPORTS REHAB & RECOVERY LLC
138 LONG COVE LN
MOORESVILLE, NC 28117-5827
Phone number: 910-546-5917
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Mailing Address
TIDAL SPORTS REHAB & RECOVERY LLC
138 LONG COVE LN
MOORESVILLE, NC 28117-5827
Phone number: 910-546-5917
Copy
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