TIDEWATER PHYSICAL THERAPY LLC

SUFFOLK, VA
NPI1144972159
Entity TypeOrganization
Authorized ContactKALI N SPRANKLE
VP Managed Care
330-301-4964
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-01-20
Last Update Date2022-01-20
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