Graduated: 2020
NPI: 1871175810
Practice Locations (3)
TALLAHASSEE ORTHOPEDIC CLINIC III PL
3618 MADACA LN
TAMPA, FL 336182057
8139789700
MOUNTAIN LAND REHABILITATION LLC
4179 S RIVERBOAT RD, SUITE 110
TAYLORSVILLE, UT 841232595
8013374475
MOUNTAIN LAND REHABILITATION LLC
29 S MAIN ST
TOOELE, UT 840742158
4358437466
Source: CMS National Downloadable File, September 2026.