Graduated: 2023
NPI: 1639952104
Practice Locations (2)
FOX REHABILITATION SERVICES MN LLC
MINNETONKA, MN 55305
8774073422
PROFESSIONAL SPORTSCARE AND REHAB LLC
1600 WILSON BLVD, SUITE 102
ARLINGTON, VA 222092505
7039351996
Source: CMS National Downloadable File, September 2026.