Graduated: 2002
NPI: 1356383442
Practice Locations (3)
CENTRAL GEORGIA REHABILITATION
3351 NORTHSIDE DR
MACON, GA 312102587
4782016500
INTEGRIS AMBULATORY CARE CORPORATION
4219 S WESTERN AVE, INTEGRIS SOUTHWEST REHABILITATION
OKLAHOMA CITY, OK 731093410
4056445256
675 GOOD DR
LANCASTER, PA 176012426
2154352500
Source: CMS National Downloadable File, September 2026.