Graduated: 2023
NPI: 1023798733
Practice Locations (2)
MDRS SPINE AND SPORT INC
1625 E MAIN ST, SUITE 104
EL CAJON, CA 920215223
6198732160
SOG PHYSICAL THERAPY
118 HWY 12 W, SUITE 1
STARKVILLE, MS 397593760
6624321523
Source: CMS National Downloadable File, September 2026.