Graduated: 2003
NPI: 1336282458
Practice Locations (3)
NORTHSPORT PHYSICAL THERAPY AND REHABILITATION P C
1622 DICKERSON RD
GAYLORD, MI 497359206
MT OMS SPECIALTY DENTAL SERVICES, PLLC
711 W WICKS LN
BILLINGS, MT 591053585
4066550170
MT OMS SPECIALTY DENTAL SERVICES, PLLC
1274 N MAIN ST, SUITE A
SHERIDAN, WY 828013027
3076734452
Source: CMS National Downloadable File, September 2026.