Individual provider · Type 1 NPI

Carissa Rae Van Mierlo

Physical Therapy Assistant · Laguna Hills, CA

NPI number 1972269975 Active

Practice location

23961 Calle De La Magdalena Ste 119
Laguna Hills, CA 92653-3616

Call (949) 837-5111 Map

Mailing address

2 Daylily
Rancho Santa Margarita, CA 92688-1442

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1972269975

Carissa Rae Van Mierlo's National Provider Identifier is 1972269975, issued on Nov 14, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Laguna Hills, CA. The record was last updated on Nov 14, 2021.