Individual provider · NPI-1

Raissa Lizzette Apolinar Carrido

Physical Therapist · Diamond Bar, CA

NPI number1376292011
StatusActive
Last updated in NPPESJul 10, 2025

Details

NPI
1376292011
Entity type
Individual (NPI-1)
Name
Raissa Lizzette Apolinar Carrido
Sex
Female
Sole proprietor
No
Enumeration date
Mar 21, 2022
Certification date
Jul 10, 2025
Last updated
Jul 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist301614CAYes

Practice location

402 S Prospectors Rd Ste I
Diamond Bar, CA 91765-1618

Phone 909-992-2497

Mailing address

402 S Prospectors Rd Ste I
Diamond Bar, CA 91765-1618

Other practice locations

3737 Martin Luther King Jr Blvd Ste 604
Lynwood, CA 90262-3518

Phone 562-333-3700

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