Graduated: 2016
NPI: 1982148953
Practice Locations (2)
TAG PHYSICAL THERAPY INC
111 PENN ST
EL SEGUNDO, CA 902453908
TAG PHYSICAL THERAPY INC
501 DEEP VALLEY DR, SUITE 200
ROLLING HILLS ESTATES, CA 902747608
3104269570
Source: CMS National Downloadable File, September 2026.