Tidewater Physical Therapy, LLC
NPI #1083133268 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1083133268
- Entity Type
- Organization
- Organization Name
- Tidewater Physical Therapy, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Sep 19, 2017
- Last Updated
- Nov 25, 2024
Practice Location
- Address
- 4624 PEMBROKE BLVD STE 101
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23455-6450
- Phone
- (757) 460-3363
Authorized Official
- Name
- TASHEDA BROUGHTON, PESC
- Title
- MANAGER, CREDENTIALING
- Phone
- (252) 248-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
Similar Providers
| Provider Name | |
|---|---|
| Celso Chavez, P.T. | |
| Janice Anne Barrera, DPT | |
| Lindsey Pauley | |
| MRS. Keyuri S Shah, PT | |
| DR. Katelyn Lochner, PT, DPT, OCS |
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