Graduated: 2021
NPI: 1003555368
Practice Locations (2)
POWERBACK REHABILITATION LLC
3951 W MILHAM AVE
PORTAGE, MI 490241088
2694471689
BRONSON LAKEVIEW HOSPITAL
930 BLUE STAR HWY
SOUTH HAVEN, MI 490907758
2696371115
Source: CMS National Downloadable File, September 2026.