Graduated: 2015
NPI: 1730559253
Practice Locations (2)
CHARLES COLE MEMORIAL HOSPITAL
1001 E 2ND ST
COUDERSPORT, PA 169158161
PHOENIX REHABILITATION AND HEALTH SERVICES INC
2000 WESTINGHOUSE DR, SUITE 200
CRANBERRY TWP, PA 160665238
Source: CMS National Downloadable File, September 2026.