Tidewater Therapy For Children, Pc in Chesapeake - Pediatrics
Tidewater Therapy For Children, Pc - NPI 1386667400
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 1386667400. 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 Ml Jessica |
| Credentials | BS |
| Telephone Number | 7574882864 |
NPI Number Detail
| NPI Number | 1386667400 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| 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, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57242 | VA | OPTIMA PROVIDER # | |
| 194322 | VA | ANTHEM PROVIDER # |
Post Comment/ Review Below
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) 1386667400. 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.
When was the Tidewater Therapy For Children, Pc's 1386667400 issued?
The Tidewater Therapy For Children, Pc's 1386667400 was issued on 2006-07-26.
As of what date were the details pertaining to Tidewater Therapy For Children, Pc last refreshed?
The information related to the Tidewater Therapy For Children, Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.