Graduated: 2004
NPI: 1326078403
Practice Locations (2)
NOVACARE OUTPATIENT REHABILITATION EAST, INC.
201 2ND AVE
COLLEGEVILLE, PA 194263613
6104897703
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
145 KING OF PRUSSIA RD
RADNOR, PA 190874557
6109025600
Source: CMS National Downloadable File, September 2026.