Graduated: 2005
NPI: 1346373420
Practice Locations (2)
ADVANCED SPORTS PT LLC
834 FRANKLIN AVE
FRANKLIN LAKES, NJ 074171334
5513192075
ADVANCED SPORTS PT LLC
2 GINKGO CT
UPPER SADDLE RIVER, NJ 074581924
Source: CMS National Downloadable File, September 2026.