Graduated: 2024
NPI: 1205660974
Practice Locations (2)
SHASTA LAKE PHYSICAL THERAPY
5061 SHASTA DAM BLVD
SHASTA LAKE, CA 960199405
5302750777
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
1727 SHAWANO AVE
GREEN BAY, WI 543033268
9204964700
Source: CMS National Downloadable File, September 2026.