Graduated: 2022
NPI: 1831825496
Practice Locations (2)
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
801 VIA SUERTE, SUITE 103
SAN CLEMENTE, CA 926736527
9494855567
WATER AND SPORTS PHYSICAL THERAPY INC
501 W BROADWAY
SAN DIEGO, CA 921013536
8584883597
Source: CMS National Downloadable File, September 2026.