Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1996
NPI: 1518964980
Practice Locations (2)
SOUTHERN ORTHOPEDIC ASSOCIATES SC
1101 W DIANN LN
CARBONDALE, IL 629015339
6189976800
SELECT PHYSICAL THERAPY HOLDINGS INC
326 E MAIN ST
WEST FRANKFORT, IL 628962402
6189376200
Source: CMS National Downloadable File, September 2026.