Graduated: 2022
NPI: 1295461044
Practice Locations (2)
TIDEWATER PHYSICAL THERAPY LLC
4020 RAINTREE RD, SUITE D
CHESAPEAKE, VA 233213749
7574844241
NORTHWEST CENTER FOR SPORTS MEDICINE AND PHYSICAL THERAPY INC
1020 QUEENSGATE DR
RICHLAND, WA 993529123
5095785100
Source: CMS National Downloadable File, September 2026.