Graduated: 1998
NPI: 1306849047
Practice Locations (2)
PROACTIVE THERAPY OF NORTH CAROLINA INC
20 W MEDICAL CT
MARION, NC 287524968
8286598049
ORTHOCAROLINA, PA
170 KIMEL PARK DR
WINSTON SALEM, NC 271036946
7043232276
Source: CMS National Downloadable File, September 2026.