TIDEWATER PHYSICAL THERAPY LLC

SUFFOLK, VA
NPI1831610708
Entity TypeOrganization
Authorized ContactTASHEDA BROUGHTON
Manager, Credentialing
252-248-3313
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2017-06-30
Last Update Date2024-12-06
Business Address
TIDEWATER PHYSICAL THERAPY LLC
2007 MEADE PKWY
SUFFOLK, VA 23434-4259
Phone number: 757-539-6300
Mailing Address
TIDEWATER PHYSICAL THERAPY LLC
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 252-248-3313