TIDEWATER PHYSICAL THERAPY, LLC

STAFFORD, VA
NPI1790270973
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 Date2018-06-29
Last Update Date2024-11-25
Business Address
TIDEWATER PHYSICAL THERAPY, LLC
392 GARRISONVILLE RD STE 208
STAFFORD, VA 22554-1576
Phone number: 540-602-4277
Mailing Address
TIDEWATER PHYSICAL THERAPY, LLC
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 252-248-3313