Graduated: 2019
NPI: 1558006924
Practice Locations (2)
LIFE AND TRAUMA SURVIVOR CENTER LLC
402 WALL ST, SUITE 42
VALPARAISO, IN 463832572
2195108043
LIFE AND TRAUMA SURVIVOR CENTER LLC
420 N PARK RD, SUITE 103
WYOMISSING, PA 196102900
2195108043
Source: CMS National Downloadable File, September 2026.