Individual provider · Type 1 NPI

Jasmine Chan-Ruiz, PT, DPT

Pediatric Physical Therapist · Fullerton, CA

NPI number 1588938880 Active

Practice location

233 Orangefair Mall
Fullerton, CA 92832-3038

Mailing address

3086 E Coalinga Dr
Brea, CA 92821-9109

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X38572 (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 1588938880

Jasmine Chan-Ruiz, PT, DPT's National Provider Identifier is 1588938880, issued on Mar 4, 2012. 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 20, 2026.