Individual provider · Type 1 NPI

Mirella Squillace, PTA

Physical Therapy Assistant · Sherman Oaks, CA

NPI number 1326514738 Active

Practice location

4940 Van Nuys Blvd
Sherman Oaks, CA 91403-1700

Call (818) 907-0952 Map

Mailing address

10620 Balboa Blvd Apt 117
Granada Hills, CA 91344-6333

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X48873 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1326514738

Mirella Squillace, PTA's National Provider Identifier is 1326514738, issued on Oct 23, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sherman Oaks, CA. The record was last updated on Oct 23, 2018.