TIDEWATER PHYSICAL THERAPY LLC

CHARLOTTESVILLE, VA
NPI1588172993
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 Date2018-01-19
Last Update Date2024-11-25
Business Address
TIDEWATER PHYSICAL THERAPY LLC
229 CONNOR DR
CHARLOTTESVILLE, VA 22911-5604
Phone number: 434-218-1021
Mailing Address
TIDEWATER PHYSICAL THERAPY LLC
350 NEW FIDELITY CT
GARNER, NC 27529-2665
Phone number: 919-258-2714