Graduated: 2016
NPI: 1730632555
Practice Locations (2)
ACTIVCARE PHYSICAL THERAPY, LLC
510 TIMBER DR E, SUITE 102
GARNER, NC 275295285
9195005003
TIDEWATER PHYSICAL THERAPY LLC
15331 CREATIVITY DR, SUITE 960
CULPEPER, VA 227012502
5403170888
Source: CMS National Downloadable File, September 2026.