NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1801176748 |   |   |   | TIDEWATER PHYSICAL THERAPY, LLC | 350 NEW FIDELITY CT | GARNER | NC | 275292665 |
1538447560 | CLARK | STEPHANIE | RENAE |   | 771 PILOT HOUSE DR | NEWPORT NEWS | VA | 236061990 |
1891868683 | MIDGETT | RENEE | GAVRISH |   | 350 NEW FIDELITY CT | GARNER | NC | 275292665 |