TIDEWATER PHYSICAL THERAPY LLC

SUFFOLK, VA
NPI1144972159
Entity TypeOrganization
Authorized ContactTASHEDA BROUGHTON
Manager, Credentialing
252-248-3313
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-01-20
Last Update Date2024-11-25
Business Address
TIDEWATER PHYSICAL THERAPY LLC
1033 CHAMPIONS WAY STE 500
SUFFOLK, VA 23435-3775
Phone number: 757-372-9953
Mailing Address
TIDEWATER PHYSICAL THERAPY LLC
350 NEW FIDELITY CT
GARNER, NC 27529-2665
Phone number: 919-578-4538
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