Most Relevant Information
Provider Data
| NPI Number: | 1003205055 |
| Provider Name: | MARISSA DELA CRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 010332 |
Most Important Dates
| Enumeration Date: | 01/14/2015 |
| Last Updated: | 01/14/2015 |
Provider Practice Location
1520 W 31ST ST
LONG BEACH
CA
908102802
Practice Location Phone/Fax
| Phone: | 5622163163 |
| Fax: |
Provider Mailing Location
1520 W 31ST ST
LONG BEACH
CA
908102802
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |