Graduated: 1992
NPI: 1720115405
Practice Locations (2)
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES-LUTZ LLC
21756 STATE RD, 54 SUITE 102
LUTZ, FL 335492905
8132796234
OHI WEST MEDICAL GROUP LLC
701 6TH ST S
ST PETERSBURG, FL 337014814
7278231234
Source: CMS National Downloadable File, September 2026.