Graduated: 2012
NPI: 1659933810
Practice Locations (2)
ORIGIN PHYSICAL THERAPY CA INC
7188 AVENIDA ENCINAS, SUITE 110
CARLSBAD, CA 920114602
2138982673
ORIGIN PHYSICAL THERAPY CA INC
11980 SAN VICENTE BLVD, SUITE 100
LOS ANGELES, CA 900496602
2138982673
Source: CMS National Downloadable File, September 2026.