TIDEWATER PHYSICAL THERAPY LLC

RICHMOND, VA
NPI1386165264
Doing Business AsPIVOT PHYSICAL THERAPY OF VIRGINIA
Entity TypeOrganization
Authorized ContactTASHEDA BROUGHTON
Manager, Credentialing
252-248-3313
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2017-06-30
Last Update Date2024-11-25
Business Address
TIDEWATER PHYSICAL THERAPY LLC
5801 PATTERSON AVE
RICHMOND, VA 23226-2536
Phone number: 804-288-1380
Mailing Address
TIDEWATER PHYSICAL THERAPY LLC
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 252-248-3313