TIDEWATER PHYSICAL THERAPY LLC

MIDLOTHIAN, VA
NPI1295256170
Doing Business AsPIVOT PHYSICAL THERAPY OF VIRGINIA
Entity TypeOrganization
Authorized ContactTASHEDA BROUGHTON
Manager, Credentialing
252-248-3313
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2017-06-30
Last Update Date2024-11-25
Business Address
TIDEWATER PHYSICAL THERAPY LLC
15757 WC MAIN ST
MIDLOTHIAN, VA 23113-7327
Phone number: 804-858-0220
Mailing Address
TIDEWATER PHYSICAL THERAPY LLC
350 NEW FIDELITY CT
GARNER, NC 27529-2665
Phone number: 919-258-2714