| Willie Marrow Iii, | |
|
1310 Carrington Cres S, Portsmouth, VA 23701-3602 | |
| (757) 382-1617 | |
| Not Available |
| Full Name | Willie Marrow Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Sports |
| Location | 1310 Carrington Cres S, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427748318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Primary |
| Provider Name | Tidewater Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Willie Marrow Iii, 1310 Carrington Cres S, Portsmouth, VA 23701-3602 Ph: () - | Willie Marrow Iii, 1310 Carrington Cres S, Portsmouth, VA 23701-3602 Ph: (757) 382-1617 |
Dr. Christopher Howard Boykin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-444-3720 | |
Megan Elizabeth Sterner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Churchland Physical Therapy Services, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Churchland Blvd, Portsmouth, VA 23703 Phone: 757-483-0333 Fax: 757-483-9359 | |
Diana Zembrzuski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2929 London Blvd, Portsmouth, VA 23707 Phone: 757-397-1201 | |
Morgan Tweddle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1476 | |
Michael Shane Lashbaugh, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-1464 Fax: 757-953-0809 | |
Rebekah Langreck, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 High St W, Portsmouth, VA 23703 Phone: 757-483-4518 |