Tidewater Therapy For Children, Pc

LBN: Tidewater Therapy For Children, Pc
Tidewater Therapy For Children, Pc is an health care organization with primary practice located at 4016 Raintree Rd Suite 240, Chesapeake VA 23321-3700. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty. Tidewater Therapy For Children, Pc can be contacted via phone (757) 488-2864, or through Dupree, Jessica M via phone (757) 488-2864.

Contact Information

Primary practice address
4016 Raintree Rd Suite 240 Chesapeake VA 23321-3700
Phone: (757) 488-2864
Fax: (757) 488-4735
Website:
Map and Directions
Authorized official contact:
Name: Dupree, Jessica M BS
Phone: (757) 488-2864

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1316051287
LBN Legal business name Tidewater Therapy For Children, Pc
DBA Doing business as
Authorized official Dupree, Jessica M BS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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