Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1984
NPI: 1003819848
Practice Locations (2)
210 MOUND ST
LEBANON, OH 450361937
5139324961
OXFORD PHYSICAL THERAPY AND REHABILITATION
7567 CENTRAL PARKE BLVD, A
MASON, OH 450406852
Source: CMS National Downloadable File, September 2026.