Most Relevant Information
Provider Data
| NPI Number: | 1003176629 |
| Provider Name: | NICOLE GRACE MARQUEZ PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 38916 |
Most Important Dates
| Enumeration Date: | 05/17/2012 |
| Last Updated: | 05/17/2012 |
Provider Practice Location
13341 GARDEN GROVE BLVD
#B
GARDEN GROVE
CA
928432255
Practice Location Phone/Fax
| Phone: | 7147504097 |
| Fax: |
Provider Mailing Location
20710 AMIE AVE
APT 109
TORRANCE
CA
905033620
Provider Mailing Phone/Fax
| Phone: | 6192465683 |
| Fax: |