Graduated: 2022
NPI: 1295431872
Practice Locations (3)
SPORTSMED PT LLC
211 BERDAN AVE
WAYNE, NJ 074703236
2012496930
JACKSON CLINICS LIMITED PARTNERSHIP
43490 YUKON DR
ASHBURN, VA 201476990
7037297920
JACKSON CLINICS LIMITED PARTNERSHIP
13039 WORLDGATE DR
HERNDON, VA 201704374
7036893164
Source: CMS National Downloadable File, September 2026.