Individual
CHRISTOPHER P DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
325 MAIN ST, EL SEGUNDO, CA 90245-3814
(310) 648-3167
Mailing address
325 MAIN ST, EL SEGUNDO, CA 90245-3814
(310) 648-3167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25505
CA
Other
Enumeration date
02/20/2009
Last updated
12/31/2013
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