Graduated: 2020
NPI: 1740805050
Practice Locations (2)
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
559 E CARSON ST, SUITE B
CARSON, CA 907452721
4242015242
CALIFORNIA LUNA CARE PHYSICAL THERAPY PC
16185 LOS GATOS BLVD, SUITE 205
LOS GATOS, CA 950324569
8665253175
Source: CMS National Downloadable File, September 2026.