TIDEWATER PHYSICAL THERAPY LLC

MIDLOTHIAN, VA
NPI1972001147
Doing Business AsPIVOT PHYSICAL THERAPY
Entity TypeOrganization
Authorized ContactTASHEDA BROUGHTON
Manager, Credentialing
252-248-3313
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2018-01-23
Last Update Date2024-12-06
Business Address
TIDEWATER PHYSICAL THERAPY LLC
2925 POLO PKWY
MIDLOTHIAN, VA 23113-1453
Phone number: 804-794-7587
Mailing Address
TIDEWATER PHYSICAL THERAPY LLC
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 252-248-3313