Tidewater Physical Therapy, LLC

NPI #1265712103 in Franklin, Virginia

Provider Information

NPI Number
1265712103
Entity Type
Organization
Organization Name
Tidewater Physical Therapy, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Aug 23, 2011
Last Updated
Nov 25, 2024

Practice Location

Address
1580 ARMORY DR
Address 2
SUITE B
ZIP Code
23851-2452
Phone
(757) 562-0990

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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