TIDEWATER PHYSICAL THERAPY, LLC

GLEN ALLEN, VA
NPI1457389595
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
235Z00000X Speech-Language Pathologist,
Enumeration Date2006-06-29
Last Update Date2024-08-12
Business Address
TIDEWATER PHYSICAL THERAPY, LLC
10128 W BROAD ST BLDG III
GLEN ALLEN, VA 23060-6761
Phone number: 804-217-9210
Mailing Address
TIDEWATER PHYSICAL THERAPY, LLC
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 252-248-3313