Graduated: 2020
NPI: 1093325359
Practice Locations (2)
TIDEWATER PHYSICAL THERAPY LLC
2925 POLO PKWY
MIDLOTHIAN, VA 231131453
8047947587
PREVENTATIVE PHYSICAL THERAPY PLLC
1516 KOGER CTR BLVD
NORTH CHESTERFIELD, VA 232354721
8042200106
Source: CMS National Downloadable File, September 2026.