Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1999
NPI: 1720050925
Practice Locations (2)
WATSON CLINIC LLP
1600 LAKELAND HILLS BLVD
LAKELAND, FL 338053019
8636807000
VANTAGE PHYSICAL THERAPY AND REHABILITATION INC
336 BLOOMFIELD ST
JOHNSTOWN, PA 159043271
8142692224
Source: CMS National Downloadable File, September 2026.