Graduated: 2009
NPI: 1619209442
Practice Locations (2)
SPARROW EATON HOSPITAL
111 LANSING ST, SUITE 230
CHARLOTTE, MI 488132400
5175439563
POWERBACK REHABILITATION LLC
5025 ANN ARBOR RD
JACKSON, MI 492018801
5178791505
Source: CMS National Downloadable File, September 2026.