Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2020
NPI: 1942824255
Practice Locations (2)
121 E ST
LAKE CHARLES, LA 706015973
3372452334
THERAPY CENTER OF JEFFERSON DAVIS PARISH, INC
4451 NELSON RD
LAKE CHARLES, LA 706054136
3375645027
Source: CMS National Downloadable File, September 2026.