Graduated: 1993
NPI: 1073604005
Practice Locations (3)
BLUE WATER THERAPY INC
3704 CARDINAL BLVD
DAYTONA BEACH SHORES, FL 321187301
3864267885
BLUE WATER THERAPY INC
600 EATON RD
EDGEWATER, FL 321323524
3864267885
BLUE WATER THERAPY INC
916 N DIXIE FWY
NEW SMYRNA BEACH, FL 321686220
3864267885
Source: CMS National Downloadable File, September 2026.