Graduated: 2018
NPI: 1841775707
Practice Locations (2)
BROAD RIVER REHABILITATION
9120 WILLOW RIDGE RD
CHARLOTTE, NC 282108313
82877452220027
KENLY MEDICAL ASSOCIATES PA
101 E 2ND ST
KENLY, NC 275427794
9192844025
Source: CMS National Downloadable File, September 2026.