Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1990
NPI: 1386622496
Practice Locations (3)
LAKE AREA PHYSICAL THERAPY INC.
PO BOX, SUITE 1099
Melrose, FL 326661099
LAKE AREA PHYSICAL THERAPY INC.
PO BOX, SUITE 1099
MELROSE, FL 326661099
475 W TOWN PLACE, 106 SPARTAN ORTHOPEDIC INSTITUTE
ST AUGUSTINE, FL 320922820
9044661197
Source: CMS National Downloadable File, September 2026.