Graduated: 2020
NPI: 1164038725
Practice Locations (2)
TRI STATE UROLOGIC SERVICES PSC INC
925 DEIS DR
FAIRFIELD, OH 450148130
5138417900
OXFORD PHYSICAL THERAPY AND REHABILITATION
7567 CENTRAL PARKE BLVD, A
MASON, OH 450406852
Source: CMS National Downloadable File, September 2026.