Graduated: 2025
NPI: 1275419954
Practice Locations (2)
MARYLAND SPORTSCARE AND REHAB LLC
5100 BUCKEYSTOWN PIKE, SUITE 158
FREDERICK, MD 217048337
3016626790
PRIVIA MEDICAL GROUP, LLC
19 W FREDERICK ST
WALKERSVILLE, MD 217938230
3018456336
Source: CMS National Downloadable File, September 2026.