Graduated: 2005
NPI: 1639205263
Practice Locations (3)
497 S POPLAR ST
Hazelton, PA 182017732
497 S POPLAR ST
HAZLETON, PA 182017732
497 S POPLAR ST, ADVANCED PHYSICAL THERAPY
HAZLETON, PA 182017732
5704543550
Source: CMS National Downloadable File, September 2026.