Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TODD VAN ETTEN
Active Sole ProprietorTODD VAN ETTEN is a Occupational Therapist healthcare provider located in LAKE FOREST, California. NPI 1033500178 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAKE FOREST, CA
Registration Details
- NPI Number
- 1033500178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2015 (11.460002553077 yrs)
- Last Updated
- Feb 11, 2015
- License
-
9605 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26318 MISTY GLNLAKE FOREST, CA, 926307249Browse CA providers · Browse ZIP 92630
- Phone
- 9492028905
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LAKE FOREST, CA
| Name | Credential | NPI |
|---|---|---|
| TRICIA SHELTON | P.T.A | 1023028594 |
| MR. STEPHEN W BARSAMIAN | — | 1801184569 |
| BRITTANY LEONG | PTA | 1578986311 |
| MISS ALYSSA MARIE EASTLAND | P.T.A | 1619360336 |
| MISS GABRIELLE MELISSA LOVATO | PTA | 1508373747 |
| MS. NATALIA VOSE | PTA | 1336624931 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.