| NPI | 1912455023 |
|---|---|
| Doing Business As | TIDEWATER SWALLOWING DIAGNOSTICS |
| Doing Business As | SHORE THERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | ALYSSA KIERNAN Owner 757-606-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: VA 2202007680) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2022-11-18 |