TIDEWATER PHYSICAL THERAPY LLC

ASHLAND, VA
NPI1962154971
Entity TypeOrganization
Authorized ContactTASHEDA BROUGHTON
Manager, Credentialing
252-248-3313
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-01-20
Last Update Date2024-12-06
Business Address
TIDEWATER PHYSICAL THERAPY LLC
203 N WASHINGTON HWY
ASHLAND, VA 23005-1623
Phone number: 804-798-1112
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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