Graduated: 2022
NPI: 1174293500
Practice Locations (3)
30701 LORAIN RD A
North Olmsted, OH 440706325
30701 LORAIN RD, SUITE A
NORTH OLMSTED, OH 440706325
22255 CTR RIDGE RD, SUITE 300
ROCKY RIVER, OH 44116
Source: CMS National Downloadable File, September 2026.