Graduated: 2014
NPI: 1255720686
Practice Locations (2)
IMPACT PHYTHERAPY AND PERFORMANCE FNA KO GOLF PERFORMANCE AND PT PC
27601 FORBES RD, SUITE 38
LAGUNA NIGUEL, CA 926771241
9494091339
LAKESIDE PHYSICAL THERAPY INC
27762 VISTA DEL LAGO, SUITE A1
MISSION VIEJO, CA 926921137
9497687500
Source: CMS National Downloadable File, September 2026.