Harrah Andrew practices physical therapy in Chula Vista at 480 4th Avenue, Suite 501, inside a multi-specialty medical building that houses orthopedic surgical groups on the same floor. That direct-access arrangement between surgeon and therapist mirrors the coordinated care model at Synergy Orthopedics, Chula Vista-Eastlake, where pre-operative and post-operative PT timelines are managed alongside orthopedic intervention. The 4th Avenue location serves western Chula Vista's 91910 ZIP code, positioning the practice between the H Street commercial corridor and the Medical Center Drive hospital cluster anchored by Sharp Chula Vista Medical Center. Spinal and extremity rehabilitation cases frequently involve co-managed chiropractic intervention, a referral pathway shared with Kohler Chiropractic for patients requiring concurrent spinal mobilization and therapeutic exercise. Complex post-surgical shoulder protocols integrate progressive rotator cuff loading through scapular stabilization sequences calibrated to surgeon-specified tissue-healing timelines across six-to-twelve-week recovery windows.