TIDEWATER REHABILITATION MEDICINE is a pain medicine physical medicine rehabilitation in Virginia Beach, VA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. TIDEWATER REHABILITATION MEDICINE NPI is 1891113155. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
1120 FIRST COLONIAL RD
SUITE 206
VIRGINIA BEACH, VA
ZIP 23454-418
Phone: (757) 496-2325
Fax: (757) 496-1942
The provider's authorized official is Stephen Walter Kayota .
The authorized official title is Sole Owner/authorize Official and has the following contact phone number (757) 496-2325.
The CLIA number assigned to this NPI record is 49D1010447 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 4/3/2014 and was last updated on 4/25/2015.