Most Relevant Information
Provider Data
| NPI Number: | 1003056797 |
| Provider Name: | CHRISTOPHER P DEROSA RPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT25505 |
Most Important Dates
| Enumeration Date: | 02/20/2009 |
| Last Updated: | 12/31/2013 |
Provider Practice Location
325 MAIN ST
EL SEGUNDO
CA
902453814
Practice Location Phone/Fax
| Phone: | 3106483167 |
| Fax: |
Provider Mailing Location
325 MAIN ST
EL SEGUNDO
CA
902453814
Provider Mailing Phone/Fax
| Phone: | 3106483167 |
| Fax: |