Graduated: 1997
NPI: 1528258639
Practice Locations (2)
ORIGIN PHYSICAL THERAPY CA INC
11980 SAN VICENTE BLVD, SUITE 100
LOS ANGELES, CA 900496602
2138982673
JAG-ONE PHYSICAL THERAPY LLC
3540 JFK BLVD, 3RD FLOOR
JERSEY CITY, NJ 073073450
2019423871
Source: CMS National Downloadable File, September 2026.