Tidewater Physical Therapy, LLC
NPI #1093172181 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1093172181
- Entity Type
- Organization
- Organization Name
- Tidewater Physical Therapy, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 21, 2016
- Last Updated
- Nov 25, 2024
Practice Location
- Address
- 1745 CAMELOT DR
- Address 2
- SUITE 100
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23454-2435
- Phone
- (757) 961-4800
Authorized Official
- Name
- TASHEDA BROUGHTON, PESC
- Title
- MANGER, CREDENTIALING
- Phone
- (252) 248-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| 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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