Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Pasco Fanco, PT

Individual provider Physical Therapist · NPI 1417144536

Marissa Pasco Fanco, PT is a Physical Therapist in Redondo Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

403 N Pacific Coast Hwy
Redondo Beach, CA 90277-2839
Phone: (310) 798-8777
Fax: (310) 798-8783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 33856 (CA)

Record details

NPI number1417144536
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 2, 2007
Last updated in NPPESJune 16, 2010

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