Graduated: 1996
NPI: 1932472826
Practice Locations (2)
PHYSIOTHERAPY ASSOCIATES INC
8509 HOSPITAL DR
DOUGLASVILLE, GA 301342414
7709475440
THE SOUTHEAST PERMANENTE MEDICAL GROUP
200 CRESCENT CTR PKWY
TUCKER, GA 300847047
4043650966
Source: CMS National Downloadable File, September 2026.