Graduated: 1995
NPI: 1073647400
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC
531 FAUNCE CORNER RD
DARTMOUTH, MA 027471242
5089963991
BAY STATE PHYSICAL THERAPY OF RANDOLPH INC
375 FAUNCE CORNER RD, SUITE C
NORTH DARTMOUTH, MA 027471258
7744257911
Source: CMS National Downloadable File, September 2026.