Organization
TIDEWATER COMPREHENSIVE REHABILITATION, PLLC
Active
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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