TIDEWATER PHYSICAL THERAPY, LLC

PALMYRA, VA
NPI1881133791
Entity TypeOrganization
Authorized ContactTASHEDA BROUGHTON
Manager, Credentialing
252-248-3313
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2017-02-13
Last Update Date2024-12-06
Business Address
TIDEWATER PHYSICAL THERAPY, LLC
77 MARKET ST SUITE B
PALMYRA, VA 22963-4687
Phone number: 434-510-7301
Mailing Address
TIDEWATER PHYSICAL THERAPY, LLC
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 252-248-3313