| Tidewater Physical Therapy, Llc | |
|
4214 Fortuna Center Plz, Dumfries, VA 22025-1515 | |
| (571) 402-2028 | |
| (571) 888-8048 |
| Full Name | Tidewater Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4214 Fortuna Center Plz, Dumfries, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659887396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Physical Therapy, Llc 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (252) 248-3313 | Tidewater Physical Therapy, Llc 4214 Fortuna Center Plz, Dumfries, VA 22025-1515 Ph: (571) 402-2028 |
Punith Kumar Shivapura Nanjundaiah, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3600 Pointe Center Ct Ste 110, Dumfries, VA 22026 Phone: 757-523-1790 | |
Robert W Lyman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4214 Fortuna Center Plz, Dumfries, VA 22025 Phone: 571-402-2098 Fax: 434-951-2194 | |
Teonette O Velasco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 Fax: 703-441-7695 | |
Amanda G Hopkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 | |
Professional Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3767 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-730-6400 | |
Dr. William Glynn Kotulan, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7500 | |
Mrs. Kathleen Ann Newmeyer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 |