Graduated: 1994
NPI: 1306952437
Practice Locations (2)
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
660 BROADWAY
MASSAPEQUA, NY 117582391
5167302222
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
44 SAINT MARKS PL
NEW YORK, NY 100038118
2125295966
Source: CMS National Downloadable File, September 2026.