Tidewater Physical Therapy LLC

NPI #1124533609 in Lynchburg, Virginia

Provider Information

NPI Number: 1124533609
Entity Type: Organization
Organization Name: Tidewater Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 6, 2017
Last Updated: Nov 25, 2024

Practice Location

Address: 2400 LAKESIDE DRIVE
Address 2: SUITE 602F
City: Lynchburg
State: Virginia
ZIP Code: 24501
Phone: (434) 338-7215

Authorized Official

Name: TASHEDA BROUGHTON, PESC
Title: MANAGER, CREDENTIALING
Phone: (252) 248-3313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

Similar Providers

Provider Name	Specialty	City
MRS. Mona Fazzina, PT,DPT,GCS	Physical Therapist	Lynchburg	AI Deep Dive
Kelsey T Wood, DPT	Physical Therapist	Lynchburg	AI Deep Dive
Laura Souers, PT, DPT	Physical Therapist	Lynchburg	AI Deep Dive
Hope Johnson Trent	Physical Therapist	Lynchburg	AI Deep Dive
Joseph Spagnolo, DPT	Physical Therapist	Lynchburg	AI Deep Dive

Want to research this healthcare provider further?