At Optimum Neurology, we want our patients to live their best, most complete lives.

Neurological conditions can be incredibly disabling. From physical symptoms like tremors or weakness to mental symptoms like mental status changes or exhaustion, patients come to Optimum with a wide range of complaints.

David S. Tabby, D.O., with the help of Michelle Roque, provides patients with the care they need to stabilize their disease or find a new, healthier treatment. We take pride in offering the most modern and up to date treatments as we approach each patient’s condition and symptoms with a whole-patient approach. Many neurological conditions can be triggered or worsened by lifestyle factors; we help our patients understand what daily living items can be adjusted to improve their functioning.

If you have been recently diagnosed with a neurological condition, are looking for a fresh take on your disease and its treatment, or have noticed new or worsening symptoms, contact David S. Tabby, D.O., at Optimum Neurology for a consultation.


Michelle Shook-Roque, RN is our infusion nurse.

When visiting the office to see David S. Tabby, D.O., patients will also encounter Michelle Roque, David S. Tabby, DO.'s, nurse in the practice. Michelle works to assist David S. Tabby, D.O., in providing exceptional care to the neurological patients in eastern Pennsylvania.

Michelle Roque, RN, BSN, was born in Colorado Springs. She grew up in Allentown and received her diploma in nursing from Roxborough Memorial Hospital School of Nursing. She went on to complete her Bachelor, Science of Nursing (BSN) at Immaculata University, and to complete graduate nursing classes at Temple University. She is licensed through the state of Pennsylvania.

Prior to her work with David S. Tabby, D.O., and Optimum Neurology, Michelle worked in Penn Presbyterian’s Telemetry and Post Cardio-Thoracic Surgery Care, as well as Kindred Hospital’s Telemetry and Modified ICU. She has served as nurse faculty and a clinical instructor at Roxborough Memorial School of Nursing. She has offered on-call services as a registered nurse to Vitas Innovative Hospice Care. Most recently, she worked as a Registered Nurse Hospice Liason for Crozier Keystone Health System.

Michelle was inspired to train as a registered nurse after her experiences as a soldier in the United States Army Reserve. At Optimum Neurology, she is particularly interested in the treatment of multiple sclerosis, as well as treatment modalities for chronic migraines.

Angelic Ramos is our Practice Manager.

Argentina Rivera is our Patient Care Associate.

Our office is open Monday through Friday from 8:30 AM to 5:00 PM.