Carissa Rae Van Mierlo
Carissa Rae Van Mierlo is a Physical Therapy Assistant in Laguna Hills, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
23961 Calle De La Magdalena Ste 119Laguna Hills, CA 92653-3616
Phone: (949) 837-5111
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X (CA) |
|---|
Record details
| NPI number | 1972269975 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 14, 2021 |
| Last updated in NPPES | November 14, 2021 |
| Certification date | November 14, 2021 |
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