Graduated: 1990
NPI: 1124466685
Practice Locations (2)
GE SPINE ORTHOPEDIC SPORTS THERAPY CENTER LLC
12557 NEW BRITTANY BLVD, UNIT 3V 68
FORT MYERS, FL 339073651
2393476456
VITALITY REHAB SERVICES LLC
PUNTA GORDA, FL 33982
7723651411
Source: CMS National Downloadable File, September 2026.