Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2001
NPI: 1346483229
Practice Locations (2)
COLLECTIVE THERAPY CORP
507 WAKEFIELD DR, APT C
CHARLOTTE, NC 282093148
7042858207
COLLECTIVE THERAPY CORP
1973 FAISON AVE
FORT MILL, SC 297088433
7042858207
Source: CMS National Downloadable File, September 2026.