Graduated: 1989
NPI: 1437220100
Practice Locations (2)
ACTIVE REHAB CENTER INC
28200 JOHN R RD
MADISON HEIGHTS, MI 480712814
2483991060
ACTIVE REHAB CENTER INC
48380 VAN DYKE AVE, SUITE 100
SHELBY TWP, MI 483173277
5868030303
Source: CMS National Downloadable File, September 2026.