Graduated: 2013
NPI: 1588062459
Practice Locations (2)
FOX REHABILITATION SERVICES MI LLC
5969 N CANTON CTR RD
CANTON, MI 481872757
8774073422
ATHLETICO LTD
1595 W LAKE LANSING RD, SUITE 130
EAST LANSING, MI 488231317
5173336692
Source: CMS National Downloadable File, September 2026.