Graduated: 2023
NPI: 1578327706
Practice Locations (2)
MDRS SPINE AND SPORT INC
2335 VISTA WAY
OCEANSIDE, CA 920545663
7605472666
TIDEWATER PHYSICAL THERAPY LLC
4214 FORTUNA CTR PLZ
DUMFRIES, VA 220251515
5714022098
Source: CMS National Downloadable File, September 2026.