INTERNATIONAL REHABILITATIVE SCIENCES, INC

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Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

Centers for Medicare & Medicaid Services, Open Payments

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.

CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state.

Page 1 of 14; records 1–50 of 670 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

INTERNATIONAL REHABILITATIVE SCIENCES, INC

CMS reporting company ID 100000011181

General Payments, PY2025; Recipient scope: All recipient types; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 14; records 1–50 of 670 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/company/100000011181?year=2025&recipient=all#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
INTERNATIONAL REHABILITATIVE SCIENCES, INC, CMS reporting company ID 100000011181. General Payments, PY2025; Recipient scope: All recipient types; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 14; records 1–50 of 670 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/company/100000011181?year=2025&recipient=all#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
APA 7
IndustryPayments. (2026). INTERNATIONAL REHABILITATIVE SCIENCES, INC, CMS reporting company ID 100000011181. General Payments, PY2025; Recipient scope: All recipient types; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 14; records 1–50 of 670 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/company/100000011181?year=2025&recipient=all#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
Bluebook
INTERNATIONAL REHABILITATIVE SCIENCES, INC, CMS reporting company ID 100000011181, IndustryPayments, General Payments, PY2025; Recipient scope: All recipient types; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 14; records 1–50 of 670 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e. https://industrypayments.org/company/100000011181?year=2025&recipient=all#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2025

Date, newest first, then reporting company; values as published by CMS.

General Payments · PY2025 · All recipient types · CMS publication 2026-06-30

670 matching records · $446,150.21 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 670 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 670.

Recipient Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
ANDREW SAWIRES
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $56.2812/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250894324 CMS
DICKY L AIKAT
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $2,200.9412/29/2025 Long term medical supply or device loan No dispute reported Delay: No
Change: NEW
06/30/2026 1254117501 CMS
CAMERON GRIFFIN
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $14.7112/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250962419 CMS
RICHMOND C O ROBINSON
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $14.5212/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251310010 CMS
RODRIGO A DURALDE
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $14.7112/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251321607 CMS
SAMANTHA JENSEN
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $14.5112/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251324134 CMS
STEVEN L GEARY
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $14.5112/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251375598 CMS
TONYA M OGLETREE
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $14.7112/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251379471 CMS
NATHANIEL KEARNEY PLEASANT
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $14.7112/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1252262522 CMS
LAWRENCE D BERMAN
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $14.7112/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253168140 CMS
MAYSON AUGUSTUS CALLAWAY
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $14.7112/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253284445 CMS
ANASTACIA J NIX
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $15.1412/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250893506 CMS
ANITA M ALLISON
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $15.1412/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250896519 CMS
CLAUDIA P GRANADOS
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $35.3512/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251145877 CMS
SHERIDA SUAREZ DINZEY
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $15.1412/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251372905 CMS
DAVID A WARNER
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $15.1412/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1252586209 CMS
JASON H HUANG
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $35.3512/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253082851 CMS
LAURA A HENCH
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $1,556.1812/17/2025 Long term medical supply or device loan No dispute reported Delay: No
Change: NEW
06/30/2026 1254650767 CMS
AASIMA T ALI
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $31.3712/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1246738419 CMS
ERIC C COX
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $32.1112/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1252586327 CMS
ISAAC MARTINEZ
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $4,288.0012/15/2025 Long term medical supply or device loan No dispute reported Delay: No
Change: NEW
06/30/2026 1254641265 CMS
DOMINICK SENZAMICI
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $68.2312/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1252586241 CMS
MATTHEW SENZAMICI
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $68.2312/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253277526 CMS
ABBY JOHNSON
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9512/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1246756865 CMS
BRANDEE RENAE SALISBURY
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9512/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250949392 CMS
DAVID B CLARKE
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9612/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250961060 CMS
SEAN E GREEN
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9612/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251370937 CMS
TORI I MARNELL
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9612/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251379474 CMS
VAN THY NGUYEN
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9512/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1252242610 CMS
D'AUN CHRIE BOWERS
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9612/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1252561447 CMS
ERIN SELLERS
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9512/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1252586343 CMS
JENNIFER J YAWS
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9512/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253085049 CMS
KOURTNEY LANE HORWOOD
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9512/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253156658 CMS
LAWRENCE R MCAFEE
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9612/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253168158 CMS
LUKE TALBOT BROWN
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9612/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253237373 CMS
MANDY DOBROWOLSKI
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9612/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253239012 CMS
MARC D IRWIN
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $37.9612/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253242941 CMS
DANISH QURESHI
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $3,328.0012/08/2025 Long term medical supply or device loan No dispute reported Delay: No
Change: NEW
06/30/2026 1254119075 CMS
DANIEL V TOMINELLO
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $1,771.1012/08/2025 Long term medical supply or device loan No dispute reported Delay: No
Change: NEW
06/30/2026 1254120057 CMS
NANCY K MULLEN
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $1,556.1812/08/2025 Long term medical supply or device loan No dispute reported Delay: No
Change: NEW
06/30/2026 1254635678 CMS
PAUL R CASSISTA
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $13.8012/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1246209208 CMS
TAELY LEE
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $39.4612/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251376278 CMS
PHILIP J POULOS
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $38.3712/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253491765 CMS
RYAN MICHAEL TACHICK
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $4,768.0012/03/2025 Long term medical supply or device loan No dispute reported Delay: No
Change: NEW
06/30/2026 1254119144 CMS
CHAHAIT SINGH
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $85.0811/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1251002700 CMS
PETER LEE
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $13.5511/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1253489672 CMS
JAY RIESS
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $16.9011/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1241832830 CMS
ZONGFU CHEN
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $3,328.0011/21/2025 Long term medical supply or device loan No dispute reported Delay: No
Change: NEW
06/30/2026 1254648085 CMS
DONALD R DANGELO
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $1,771.1011/21/2025 Long term medical supply or device loan No dispute reported Delay: No
Change: NEW
06/30/2026 1254648348 CMS
ARIEN J SMITH
Physician / non-physician practitioner
INTERNATIONAL REHABILITATIVE SCIENCES, INC $72.5411/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250911946 CMS

Practitioner overview · all loaded program years

1,423 providers listed 2,057 records General Payments

General Payments to practitioners — all loaded program years

  • Category: General Payments
  • Program years: 2019, 2020, 2021, 2022, 2023, 2024, 2025
  • Record count: 2,057
  • Providers listed: 1,423

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.

Coverage: program years 2019–2025, General Payments only, reported to physicians and non-physician practitioners. Payments to teaching hospitals are not included in these practitioner figures. Each figure is labeled with its category and program year; categories are never combined.

Practitioner payments by program year

Program yearReportedRecordsProvidersDetail
PY2019 $1,303.95 38 38 This company in PY2019 →
PY2020 $19,964.56 34 33 This company in PY2020 →
PY2021 $58,719.03 134 125 This company in PY2021 →
PY2022 $13,085.14 112 112 This company in PY2022 →
PY2023 $170,949.61 400 375 This company in PY2023 →
PY2024 $406,419.23 670 628 This company in PY2024 →
PY2025 $438,089.21 669 626 This company in PY2025 →

By recipient specialty (95)

Sorted by name; identical names by identifier.

Allopathic & Osteopathic Physicians 61 specialties 663 providers
Chiropractic Providers 7 specialties 243 providers
Dental Providers 2 specialties 3 providers
Eye and Vision Services Providers 1 specialty 2 providers
Nursing Service Providers 7 specialties 20 providers
Physician Assistants & Advanced Practice Nursing Providers 13 specialties 412 providers
Podiatric Medicine & Surgery Service Providers 4 specialties 56 providers

Providers listed (1,423)

Sorted by name; identical names by identifier.

ProviderSpecialtyStateRecords reported by this company
ANKUR MANSUKHLAL MANVAR Allopathic & Osteopathic Physicians|Pain Medicine|Pain Medicine NC 2
ANNA BLAESER — PA 2
ANNA CHENG Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation CA 5
ANNA IRWIN Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine MD 2
ANNE T CIPTA Allopathic & Osteopathic Physicians|Anesthesiology CA 4
ANNETTE SANDERS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family MO 1
ANNMARIE A GASKIN Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology PA 1
ANNU RAMASWAMY Allopathic & Osteopathic Physicians|Internal Medicine CO 2
ANTERPREET DUA Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine SC 3
ANTHONY ELIAS SALA Chiropractic Providers|Chiropractor MO 1
ANTHONY J LAMARRA Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery TX 2
ANTHONY J MARGHERITA Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation MO 1
ANTHONY L CUCUZZELLA Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation DE 1
ANTHONY TUAN NGUYEN Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology CA 5
ANTONINO CARLINO Chiropractic Providers|Chiropractor NY 1
ANTONIO M MARTINEZ Allopathic & Osteopathic Physicians|Emergency Medicine TN 1
ANUM BASHWANI Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant TX 1
ANURADHA N ANAND Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation PA 1
APRIL E PALMER Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family PA 1
APRIL M SIMKINS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner UT 1
ARACELI ROMERO Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX 1
ARASH ALIPOUR Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner CA 1
ARFAN MOHAMMED QURESHI Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Pain Medicine TX 1
ARIA SANDERS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Community Health NM 1
ARIANNA AVERY FAZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX 1
ARIEN J SMITH Allopathic & Osteopathic Physicians|Neurological Surgery NJ 1
ARMAND ARDESTANI Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Pain Medicine CA 2
ARTHUR J TAYLOR Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery NV 1
ARTHUR STRZEPKA Allopathic & Osteopathic Physicians|Emergency Medicine NY 1
ARTHUR TING — CA 4
ARUN KALAVA Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine FL 2
ASHALATHA K NAIR Allopathic & Osteopathic Physicians|Anesthesiology NY 1
ASHIKA SHETH Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Surgical GA 1
ASHLEY ADAMS PARTIN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family NC 1
ASHLEY FILMECK Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family WV 1
ASHLEY RENEE DONALDSON Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine UT 1
ASHLEY SHEEHAN Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family MD 2
ASHLEY SHELL Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family TX 1
ASHRA MIRZA Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family MI 2
ASHTON BREA HUGHES Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant TX 1
ASHUTOSH B DIWAN Allopathic & Osteopathic Physicians|Family Medicine VA 2
ASHVIN K AMARA Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine NC 1
ATHENA TUOT Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family CA 2
AUDREY KOHAR SHU YUAN Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation CA 1
AUSTIN J BECK Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine SD 1
AUSTIN J DUERKSEN Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NE 2
AUSTIN K BECKER Chiropractic Providers|Chiropractor DE 1
AYASHA L WILLIAMS SHARRON Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine MD 1
AYESHA MOHIUDDIN Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery NY 1
AYMAN TARABISHY Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Pain Medicine MI 1