Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1996
NPI: 1053305383
Practice Locations (2)
PHOENIX REHABILITATION AND HEALTH SERVICES INC
2000 WESTINGHOUSE DR, SUITE 200
CRANBERRY TWP, PA 160665238
221 IDETOWN RD
DALLAS, PA 186122701
5706392557
Source: CMS National Downloadable File, September 2026.