Graduated: 1996
NPI: 1124099668
Practice Locations (2)
MARYLAND SPORTSCARE AND REHAB LLC
5435 BEAVERKILL RD
COLUMBIA, MD 210442359
4107400883
GLEN BURNIE PHYSICAL THERAPY AND SPORTSCARE LLC
8890 CENTRE PARK DR, SUITE 400
COLUMBIA, MD 210452170
4108846000
Source: CMS National Downloadable File, September 2026.