| Tidewater Therapy For Children, Pc | |
|
4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | |
| (757) 488-2864 | |
| (757) 488-4735 |
| Full Name | Tidewater Therapy For Children, Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Pediatrics |
| Location | 4016 Raintree Rd, Chesapeake, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386667400 | NPI | - | NPPES |
| 57242 | Other | VA | OPTIMA PROVIDER # |
| 194322 | Other | VA | ANTHEM PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Therapy For Children, Pc 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 Ph: (757) 488-2864 | Tidewater Therapy For Children, Pc 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 Ph: (757) 488-2864 |
Michelle Lynn Higgins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 733 Volvo Pkwy, Chesapeake, VA 23320 Phone: 757-547-3135 | |
Edwin Bryce Lee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 Technology Dr Ste 102, Chesapeake, VA 23320 Phone: 757-227-7600 | |
Ms. May Dimabuyu Monzon, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 Cedar Rd, Chesapeake, VA 23322 Phone: 757-547-4528 | |
Whitney Marie Randall, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 Hanbury Rd W Ste B, Chesapeake, VA 23322 Phone: 757-819-6512 Fax: 757-819-6517 | |
Kirsteen Mitchell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2008 Dock Landing Rd, Chesapeake, VA 23321 Phone: 757-465-6300 | |
Derrick Hale Baskin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Scenic Pkwy Ste 101, Chesapeake, VA 23323 Phone: 757-388-9950 | |
Dr. Sandra Federico, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 Poplar Hill Rd Ste B, Chesapeake, VA 23321 Phone: 757-776-3088 |