| NPI | 1730263302 |
|---|---|
| Other Name | TIDEWATER PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LINDA BOOZE Finance Manager 410-822-4613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-08-14 |