Graduated: 2021
NPI: 1053070912
Practice Locations (2)
HUMAN PERFORMANCE AND REHABILITATION CENTERS LLC
1157 B W AVE SW
CONYERS, GA 300125280
7709222420
PHYSICIANS CLINIC OF IOWA PC
1825 29TH ST NE, PHYSICIANS' CLINIC OF IOWA
CEDAR RAPIDS, IA 524023452
3193626994
Source: CMS National Downloadable File, September 2026.