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Organization

TIDEWATER COMPREHENSIVE REHABILITATION, PLLC

Active
Other names
Tidewater Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID HARRIS JD (ADMINISTRATOR)
(757) 622-8181
Entity
Organization

Contact information

Practice address
400 GRESHAM DR, STE 712, NORFOLK, VA 23507-1901
(757) 622-8181
(757) 622-8088
Mailing address
400 GRESHAM DR, STE 712, NORFOLK, VA 23507-1901
(757) 622-8181
(757) 622-8088

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
06/15/2007
Last updated
11/01/2007
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