TIDEWATER PHYSICAL THERAPY LLC

FREDERICKSBURG, VA
NPI1497244800
Entity TypeOrganization
Authorized ContactTASHEDA BROUGHTON
Manager, Credentialing
252-248-3313
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2018-05-02
Last Update Date2024-11-25
Business Address
TIDEWATER PHYSICAL THERAPY LLC
5629 PLANK RD STE 107
FREDERICKSBURG, VA 22407-7216
Phone number: 540-445-0206
Mailing Address
TIDEWATER PHYSICAL THERAPY LLC
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 252-248-3313
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