Graduated: 2019
NPI: 1699329060
Practice Locations (3)
THEORIA MEDICAL
5655 CLARKSTON RD
CLARKSTON, MI 483483714
8106235216
POWERBACK REHABILITATION LLC
5025 ANN ARBOR RD
JACKSON, MI 492018801
5178791505
STAY HOME WOUND CARE PC
26200 TOWN CTR DR, SUITE 165
NOVI, MI 483751219
2482280541
Source: CMS National Downloadable File, September 2026.