Graduated: 1991
NPI: 1649221888
Practice Locations (3)
ACTIVE LIFE HEALTH OF CINCINNATI LLC
8251 PINE RD, SUITE 210
CINCINNATI, OH 452362191
ACTIVE LIFE HEALTH OF CINCINNATI LLC
8251 PINE RD, SUITE 210
CINCINNATI, OH 452362197
5139045888
ACTIVE LIFE HEALTH OF COLUMBUS LLC
6325 EMERALD PKWY, UNIT 1A
DUBLIN, OH 430163320
6145040741
Source: CMS National Downloadable File, September 2026.