Graduated: 1987
NPI: 1154330496
Practice Locations (2)
PROACTIVE PHYSICAL THERAPY AND SPORTS MEDICINE INC
6070 AVENIDA ENCINAS, SUITE 100
CARLSBAD, CA 920111001
7604440102
PROACTIVE PHYSICAL THERAPY AND SPORTS MEDICINE INC
17150 VIA DEL CAMPO, SUITE 200
SAN DIEGO, CA 921272137
8583815084
Source: CMS National Downloadable File, September 2026.