TIDEWATER PHYSICAL THERAPY LLC

FREDERICKSBURG, VA
NPI1861906166
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 Date2017-11-22
Last Update Date2024-12-06
Business Address
TIDEWATER PHYSICAL THERAPY LLC
1149 EMANCIPATION HWY
FREDERICKSBURG, VA 22401-4413
Phone number: 540-322-2518
Mailing Address
TIDEWATER PHYSICAL THERAPY LLC
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 252-248-3313