Graduated: 2022
NPI: 1407576804
Practice Locations (2)
TIDEWATER PHYSICAL THERAPY LLC
203 N WASHINGTON HWY
ASHLAND, VA 230051623
8047981112
TIDEWATER PHYSICAL THERAPY LLC
9980 BROOK RD, UNIT 16
GLEN ALLEN, VA 230596501
8045505730
Source: CMS National Downloadable File, September 2026.