Graduated: 2024
NPI: 1609607142
Practice Locations (2)
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
2777 BRISTOL ST, SUITE B
COSTA MESA, CA 926265997
9492501112
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
26672 PORTOLA PKWY, SUITE 116
FOOTHILL RANCH, CA 926101773
7144504999
Source: CMS National Downloadable File, September 2026.