Organization · Type 2 NPI

Tidewater Therapy for Children, PC

Pediatric Physical Therapist · Chesapeake, VA

NPI number 1881814671 Active

Practice location

4016 Raintree Road, Suite 240
Chesapeake, VA 23321

Fax (757) 488-4735

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XNone listed
Occupational Therapist 225X00000XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1881814671

Tidewater Therapy for Children, PC's National Provider Identifier is 1881814671, issued on Apr 26, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Chesapeake, VA. The record was last updated on Sep 11, 2025.