Medical school: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated: 1996
NPI: 1609805720
Practice Locations (1)
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
9525 QUEENS BLVD, SUITE 3D
REGO PARK, NY 113744510
7189256212
Source: CMS National Downloadable File, September 2026.