Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1801985668
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
1545 FANGBONER RD
FREMONT, OH 434201128
5673146003
PT SERVICES REHABILITATION INC
22020 W ST RT, 51 SUITE A
GENOA, OH 434301254
4198558301
Source: CMS National Downloadable File, September 2026.