Graduated: 1968
NPI: 1831187871
Practice Locations (2)
PHOENIX REHABILITATION AND HEALTH SERVICES INC
2000 WESTINGHOUSE DR, SUITE 200
CRANBERRY TWP, PA 160665238
SUSQUEHANNA PHYSICIAN SERVICES
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 177011909
5703268005
Source: CMS National Downloadable File, September 2026.