Graduated: 2025
NPI: 1598636045
Practice Locations (2)
DHHS PHS IHS PHOENIX AREA
401 PICACHO RD
WINTERHAVEN, CA 922839605
7605724137
REHABAUTHORITY LLC
600 S 2ND ST, SUITE 100
BISMARCK, ND 585045729
7014501330
Source: CMS National Downloadable File, September 2026.