Graduated: 1998
NPI: 1336120427
Practice Locations (2)
POWERBACK REHABILITATION LLC
3951 W MILHAM AVE
PORTAGE, MI 490241088
2694471689
BRONSON SOUTH HAVEN HOSPITAL
955 S BAILEY AVE
SOUTH HAVEN, MI 490906743
Source: CMS National Downloadable File, September 2026.