Tidewater Rehabilitation Medicine
Tidewater Rehabilitation Medicine is a Physical Medicine & Rehabilitation Physician in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2014.
- Licensed in
- VA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1120 First Colonial Rd Ste 206Virginia Beach, VA 23454-2418
Phone: (757) 496-2325
Fax: (757) 496-1942
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081P2900X · Licence 0101053621 (VA) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 0101053621 (VA) |
Record details
| NPI number | 1891113155 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Kayota — Sole Owner/Authorize Official · (757) 496-2325 |
| NPI enumerated | April 3, 2014 |
| Last updated in NPPES | April 25, 2015 |
| Mailing address | 1120 First Colonial Rd, Suite 206, Virginia Beach, VA 23454-2418 |
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Gerry Nieman Smith, MD
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