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1144972159
TIDEWATER PHYSICAL THERAPY LLC
SUFFOLK, VA
NPI
1144972159
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Entity Type
Organization
Authorized Contact
KALI N SPRANKLE
VP Managed Care
330-301-4964
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
TIDEWATER PHYSICAL THERAPY LLC
1033 CHAMPIONS WAY STE 500
SUFFOLK, VA 23435-3775
Phone number: 757-372-9953
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Mailing Address
TIDEWATER PHYSICAL THERAPY LLC
350 NEW FIDELITY CT
GARNER, NC 27529-2665
Phone number: 919-578-4538
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