Graduated: 2015
NPI: 1356714067
Practice Locations (2)
SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC
5347 MAIN ST, SUITE 202
NEW PORT RICHEY, FL 346522520
7278410515
CRYSTAL CLINIC, INC.
3975 EMBASSY PKWY, SUITE 102
AKRON, OH 443331763
3306684040
Source: CMS National Downloadable File, September 2026.