Organization
TIDEWATER ORTHOPAEDIC ASSOCIATES OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY TANNER BELL (CEO)
(757) 827-2480
Entity
Organization
Contact information
Practice address
901 ENTERPRISE PKWY, SUITE 900, HAMPTON, VA 23666-6249
(757) 827-2480
Mailing address
901 ENTERPRISE PKWY, SUITE 900, HAMPTON, VA 23666-6249
(757) 827-2480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
03/22/2024
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