Graduated: 1998
NPI: 1841457900
Practice Locations (2)
IDEAL THERAPY, LLC
290 HWY 314, SUITE B
FAYETTEVILLE, GA 302147813
4049947727
IDEAL THERAPY, LLC
290 HWY 314 B
FAYETTEVILLE, GA 302147813
4049947727
Source: CMS National Downloadable File, September 2026.