Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2003
NPI: 1073145272
Practice Locations (1)
SOUTHERN PHYSICAL THERAPY CLINIC INC
1337 GAUSE BLVD, SUITE 107AND108
SLIDELL, LA 704583000
9852017032
Source: CMS National Downloadable File, September 2026.