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1881133791
TIDEWATER PHYSICAL THERAPY, LLC
PALMYRA, VA
NPI
1881133791
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Entity Type
Organization
Authorized Contact
TASHEDA BROUGHTON
Manager, Credentialing
252-248-3313
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2017-02-13
Last Update Date
2024-12-06
Business Address
TIDEWATER PHYSICAL THERAPY, LLC
77 MARKET ST SUITE B
PALMYRA, VA 22963-4687
Phone number: 434-510-7301
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Mailing Address
TIDEWATER PHYSICAL THERAPY, LLC
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 252-248-3313
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