Graduated: 2023
NPI: 1871379537
Practice Locations (2)
TIDEWATER PHYSICAL THERAPY LLC
300 B TEMPLE LAKE DR, SUITE 1
COLONIAL HEIGHTS, VA 238342973
8045249036
THE TEMPLE FOUNDATION INC
3020 HAMAKER CT, SUITE 100
FAIRFAX, VA 220312233
7038448599
Source: CMS National Downloadable File, September 2026.