Graduated: 2019
NPI: 1619534328
Practice Locations (4)
ATHLETICO LTD
3467 S DR MARTIN LUTHER KING JR DR
CHICAGO, IL 60616
3122259070
TIDEWATER PHYSICAL THERAPY LLC
10128 W BROAD ST, FORUM BUILDING III SUITE K
GLEN ALLEN, VA 230606761
8042179210
ATHLETICO LTD
4625 VIRGINIA BEACH BLVD, SUITE 103
VIRGINIA BEACH, VA 234627789
7576005999
TIDEWATER PHYSICAL THERAPY LLC
4625 VIRGINIA BEACH BLVD, SUITE 103
VIRGINIA BEACH, VA 234627789
7576005999
Source: CMS National Downloadable File, September 2026.