Graduated: 2016
NPI: 1184070146
Practice Locations (2)
BLUEMARK REHAB LLC
9 KENYON DR
LAKEWOOD, NJ 087014754
7182077735
HOMESIDE REHAB PT OT SLP LLC
441 ROUTE 306, SUITE 2
MONSEY, NY 109521234
7183775000
Source: CMS National Downloadable File, September 2026.