Tidewater Physical Therapy, Inc

NPI 1033138094 - Occupational Therapist - 225X00000X

NPI Details
NPI 1033138094
Enumeration Date 07/19/2006
Last Updated 10/20/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFFREY C JEFFREY
Position CEO
Phone (757) 220-8383
Fax (757) 253-7833
Practice Location
4125 IRONBOUND RD
STE 100
WILLIAMSBURG VA, 23188-2666, US
Phone (757) 220-8383
Fax (757) 253-7833
Business Location
771 PILOT HOUSE DR
SUITE A
NEWPORT NEWS VA, 23606-1990, US
Phone (757) 873-2302
Fax (757) 873-2306
Toxanomy
Taxonomy Code 225X00000X
License State
License Number
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According to our database, Tidewater Physical Therapy, Inc NPI is 1033138094, taxonomy code is 225X00000X Tidewater Physical Therapy, Inc physically located at 4125 Ironbound Rd, Williamsburg VA, 23188-2666. NPI Number 1033115704 has the healthcare provider type.

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1033138094 NPI number is provided on an as is basis without warranty of any kind. 1033138094 is maintained by the National Plan & Provider Enumeration System. The contents of Tidewater Physical Therapy, Inc are for informational purposes only.