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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIDEWATER PHYSICAL THERAPY, LLC

Active Organization

TIDEWATER PHYSICAL THERAPY, LLC is a Physical Therapy Assistant organization located in GLEN ALLEN, Virginia. NPI 1477588986 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GLEN ALLEN, VA

Registration Details

NPI Number
1477588986
Provider Type
Organization
NPI Issued
Jul 12, 2006 (20.103690229117 yrs)
Last Updated
Nov 25, 2024

Practice Information

Address
10128 W BROAD ST
FORUM BUILDING III, SUITE K
GLEN ALLEN, VA, 230606761
Browse VA providers · Browse ZIP 23060
Phone
8042179210
Fax
8042179213
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.