Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA PASCO FANCO, PT
ActiveMARISSA PASCO FANCO, PT is a Physical Therapy Assistant healthcare provider located in REDONDO BEACH, California. NPI 1417144536 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · REDONDO BEACH, CA
Registration Details
- NPI Number
- 1417144536
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2007 (18.872596529822 yrs)
- Last Updated
- Jun 16, 2010
- License
-
PT 33856 (CA)
Practice Information
- Address
-
403 N PACIFIC COAST HWYREDONDO BEACH, CA, 902772839Browse CA providers · Browse ZIP 90277
- Phone
- 3107988777
- Fax
- 3107988783
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in REDONDO BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| STEVEN P TYSSEE | DPT | 1417935388 |
| MR. DAVID ANTHONY FADALE | — | 1245286491 |
| BITA SHAHIDI | D.P.T. | 1629095286 |
| MRS. DANIELA ALEKSICH | PT | 1124032586 |
| ROBERT FRANK MAFFUCCI | MPT | 1063426690 |
| TIMOTHY JOSEPH SULLIVAN | PT | 1760496392 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.