Medical school: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1174517791
Practice Locations (1)
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
22521 AVENIDA EMPRESA, SUITE 116
RANCHO SANTA MARGARITA, CA 926882046
9497668535
Source: CMS National Downloadable File, September 2026.