Individual provider · Type 1 NPI

Marisa Rose Santiago, PT, DPT

Pediatric Physical Therapist · Fullerton, CA

NPI number 1104768977 Active

Practice location

233 Orangefair Mall
Fullerton, CA 92832-3038

Call (714) 870-6116 Map

Mailing address

14520 Close St
Whittier, CA 90604-1812

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X302434 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1104768977

Marisa Rose Santiago, PT, DPT's National Provider Identifier is 1104768977, issued on Apr 8, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Fullerton, CA. The record was last updated on Apr 8, 2026.