Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1978
NPI: 1972634111
Practice Locations (2)
3010 E 138TH AVE, SUITE 9
TAMPA, FL 336133900
8139712888
SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC
3411 S DALE MABRY HWY, SUITE A SELECT PHYSICAL THERAPY
TAMPA, FL 336298658
8137429501
Source: CMS National Downloadable File, September 2026.