Tidewater Physical Therapy, Llc in Garner - Physical Therapist
Tidewater Physical Therapy, Llc - NPI 1477588986
Tidewater Physical Therapy, Llc is a Physical Therapist in Garner, North Carolina. Tidewater Physical Therapy, Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Tidewater Physical Therapy, Llc is 1477588986. The last update date is 2020-05-05.
Tidewater Physical Therapy, Llc's current location address is 350 New Fidelity Ct, Garner, North Carolina. You can contact this provider via phone number 9192582714 and fax number 4106484878. The mailing address for Tidewater Physical Therapy, Llc is 350 New Fidelity Ct, Garner, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tidewater Physical Therapy, Llc |
|---|---|
| Address | 350 New Fidelity Ct, Garner, North Carolina |
| Phone Number | 9192582714 |
| Fax Number | 4106484878 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RCM DIRECT |
|---|---|
| Authorized Official Name | Pearson Penny |
| Telephone Number | 4432254492 |
NPI Number Detail
| NPI Number | 1477588986 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2020-05-05 |
Provider Mailing Address Detail
| Address | 350 New Fidelity Ct |
|---|---|
| City | Garner |
| State | North Carolina (NC) |
| Post Code | 275292665 |
| Phone Number | 9192582714 |
| Fax Number | 4106484878 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 192953 | VA | BCBS (PT) |
Post Comment/ Review Below
Could you please provide the complete physical location address of Tidewater Physical Therapy, Llc?
The Tidewater Physical Therapy, Llc is physically situated at 350 New Fidelity Ct, in the city of Garner, state of NC, with the postal code 275292665.
What is the Tidewater Physical Therapy, Llc's specialty and taxonomy code?
The Tidewater Physical Therapy, Llc's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477588986 to Tidewater Physical Therapy, Llc?
The Tidewater Physical Therapy, Llc received its 1477588986 assignment from the Centers for Medicare & Medicaid Services on 2006-07-12.
When was the Tidewater Physical Therapy, Llc's information last updated?
The Tidewater Physical Therapy, Llc's information was last updated on 2020-05-05.
When was the information pertaining to Tidewater Physical Therapy, Llc most recently updated or revised?
The details related to Tidewater Physical Therapy, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-05-05.
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