Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1986
NPI: 1306876453
Practice Locations (2)
PHOENIX REHABILITATION AND HEALTH SERVICES INC
2000 WESTINGHOUSE DR, SUITE 200
CRANBERRY TWP, PA 160665238
111 LILLY ST
SCHUYLKILL HAVEN, PA 179721153
Source: CMS National Downloadable File, September 2026.