Tidewater Physical Therapy, Inc.

NPI #1972845972 in West Point, Virginia

Provider Information

NPI Number
1972845972
Entity Type
Organization
Organization Name
Tidewater Physical Therapy, Inc.
Primary Specialty
Physical Therapist
Enumeration Date
Mar 18, 2013
Last Updated
Dec 6, 2024

Practice Location

Address
100 WINTERS ST
Address 2
SUITE 106
ZIP Code
23181-9534
Phone
(804) 843-9033

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Physical Therapist

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Organizations

Provider Name
West Point Physical Therapy

Part of Hanover Rehabilitation Associates

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