Graduated: 2021
NPI: 1215675160
Practice Locations (2)
EMERGEORTHO PA
2165 MEDICAL PARK DR
HICKORY, NC 286028809
8283242800
PROACTIVE THERAPY OF NORTH CAROLINA INC
20 W MEDICAL CT
MARION, NC 287524968
8286598049
Source: CMS National Downloadable File, September 2026.