Graduated: 2001
NPI: 1326226069
Practice Locations (2)
HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.
1180 RARITAN RD
CLARK, NJ 070661311
8483084515
PROACTIVITY FITNESS PHYSICAL THERAPY ASSOCIATES
1250 STATE ROUTE 31
LEBANON, NJ 088333238
9087306640
Source: CMS National Downloadable File, September 2026.