Tidewater Therapy For Children, Pc in Chesapeake - Pediatrics

Tidewater Therapy For Children, Pc - NPI 1316051287

Tidewater Therapy For Children, Pc is a Pediatrics in Chesapeake, Virginia. Tidewater Therapy For Children, Pc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tidewater Therapy For Children, Pc is 1316051287. The last update date is 2020-08-22.

Tidewater Therapy For Children, Pc's current location address is 4016 Raintree Rd, Chesapeake, Virginia. You can contact this provider via phone number 7574882864 and fax number 7574884735. The mailing address for Tidewater Therapy For Children, Pc is 4016 Raintree Rd, Chesapeake, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tidewater Therapy For Children, Pc
Address 4016 Raintree Rd, Chesapeake, Virginia
Phone Number 7574882864
Fax Number 7574884735
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE/INS
Authorized Official Name Dupree M Jessica
Credentials BS
Telephone Number 7574882864

NPI Number Detail

NPI Number 1316051287
Provider Enumeration Date 2006-08-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4016 Raintree Rd
City Chesapeake
State Virginia (VA)
Post Code 233213700
Phone Number 7574882864
Fax Number 7574884735

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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FAQs about Tidewater Therapy For Children, Pc

What is the unique identifier code issued to Tidewater Therapy For Children, Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Tidewater Therapy For Children, Pc has been assigned the NPI (National Provider Identifier) 1316051287. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Tidewater Therapy For Children, Pc's facilities are situated?

The facilities of Tidewater Therapy For Children, Pc are physically located at the following address: 4016 Raintree Rd, Chesapeake, VA, 233213700.

What is Tidewater Therapy For Children, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Tidewater Therapy For Children, Pc is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1316051287 to Tidewater Therapy For Children, Pc?

The Centers for Medicare & Medicaid Services assigned the 1316051287 to Tidewater Therapy For Children, Pc on 2006-08-18.

As of what date was the information regarding Tidewater Therapy For Children, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tidewater Therapy For Children, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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