Graduated: 2024
NPI: 1164271706
Practice Locations (2)
TIDEWATER PHYSICAL THERAPY LLC
2004 SANDBRIDGE RD, SUITE 102
VIRGINIA BEACH, VA 234564084
7573016316
IVYREHAB SEPT, LLC
2076 S INDEPENDENCE BLVD, SUITE A
VIRGINIA BEACH, VA 234534773
7573024144
Source: CMS National Downloadable File, September 2026.