Graduated: 1998
NPI: 1003265620
Practice Locations (2)
PROVIDENT PHYSICAL AND OCCUPATIONAL THERAPY PLLC
1529 N OCEAN AVE
MEDFORD, NY 117633587
6312664501
EVOLUTION HOME PHYSICAL THERAPY, P.C.
7 WATERVIEW DR
PORT JEFFERSON, NY 117771169
6315139475
Source: CMS National Downloadable File, September 2026.