Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1336274562
Practice Locations (1)
SANTA ROSA BACK FITNESS AND PHYSICAL THERAPY INC
2798 YULUPA AVE, SUITE 1
SANTA ROSA, CA 954058570
7075274001
Source: CMS National Downloadable File, September 2026.