Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1980
NPI: 1124198536
Practice Locations (3)
1509 WILSON TER, REHABILITATION INSTITUTE
Glendale, CA 912064007
1509 WILSON TERRACE
GLENDALE, CA 912064007
1509 WILSON TERRACE
GLENDALE, CA 912064139
3232605709
Source: CMS National Downloadable File, September 2026.