TIDEWATER PHYSICAL THERAPY, LLC

VIRGINIA BEACH, VA
NPI1093172181
Entity TypeOrganization
Authorized ContactTASHEDA BROUGHTON
Manger, Credentialing
252-248-3313
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2016-01-21
Last Update Date2024-11-25
Business Address
TIDEWATER PHYSICAL THERAPY, LLC
1745 CAMELOT DR SUITE 100
VIRGINIA BEACH, VA 23454-2435
Phone number: 757-961-4800
Mailing Address
TIDEWATER PHYSICAL THERAPY, LLC
350 NEW FIDELITY CT
GARNER, NC 27529-2665
Phone number: 919-258-2714