Graduated: 2020
NPI: 1811309693
Practice Locations (2)
LA PLATA PHYSICAL THERAPY
101 CENTENNIAL ST, SUITE C
LA PLATA, MD 206465976
3013923700
CIVISTA MEDICAL CENTER INC
5 N LA PLATA CT, SUITE 102
LA PLATA, MD 206465207
3016095494
Source: CMS National Downloadable File, September 2026.