Graduated: 1994
NPI: 1669485918
Practice Locations (2)
PHOENIX REHABILITATION AND HEALTH SERVICES INC
2000 WESTINGHOUSE DR, SUITE 200
CRANBERRY TWP, PA 160665238
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
75 S WYOMING AVE, 3 VALLEY MEDICAL
EDWARDSVILLE, PA 187043103
5707044233
Source: CMS National Downloadable File, September 2026.