Graduated: 2001
NPI: 1467840694
Practice Locations (2)
DPT HOLDINGS LLC
417 E IL ROUTE 173, UNIT 101
ANTIOCH, IL 600029407
8009744378
DPT HOLDINGS LLC
10320 75TH ST, SUITE D
KENOSHA, WI 531427525
8009744378
Source: CMS National Downloadable File, September 2026.