Individual provider · Type 1 NPI

Nicole Buo Crisan, PT, DPT

Pediatric Physical Therapist · Lynwood, CA

NPI number 1689280729 Active

Practice location

3737 Martin Luther King Jr Blvd Ste 500
Lynwood, CA 90262-3533

Fax (562) 333-3700

Specialties and licenses

Taxonomy	Code	License
Pediatric Physical Therapist Primary	2251P0200X	298697 (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 1689280729

Nicole Buo Crisan, PT, DPT's National Provider Identifier is 1689280729, issued on Sep 23, 2020. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Lynwood, CA. The record was last updated on Aug 4, 2021.