Marissa Fanco, PT

NPI 1417144536 · on the registry since 2007

Practice

Address: 403 N Pacific Coast Hwy
Redondo Beach, CA 90277
Phone: (310) 798-8777
Fax: (310) 798-8783
Organisation at this address: Premiere Chiropractic And Sports Medicine
Premiere Physical Therapy And Rehabilitation
Homan Dibagohar Dc A Professional Chiropractic S Corporation
Aryan Dibagohar Chiropractic Clinic A Professional Chiropractic Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California