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

Marissa Wahl, PTA

Individual provider Physical Therapy Assistant · NPI 1336838937

Marissa Wahl, PTA is a Physical Therapy Assistant in Fountain Valley, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

11420 Warner Ave
Fountain Valley, CA 92708-2529
Phone: (657) 204-2959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 52029 (CA)

Record details

NPI number1336838937
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

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