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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MITCHELL VANDEL-HOLM, PT, DPT, ATC, CSCS

Active Sole Proprietor

MITCHELL VANDEL-HOLM, PT, DPT, ATC, CSCS is a Physical Therapy Assistant healthcare provider located in SAN MARCOS, California. NPI 1700432101 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAN MARCOS, CA

Registration Details

NPI Number
1700432101
Provider Type
Individual
Gender
Male
NPI Issued
Aug 13, 2019 (7.0303806882064 yrs)
Last Updated
Nov 3, 2021
License
PT300190 (CA)
Sole Proprietor
Yes

Practice Information

Address
1482 LA MIRADA DR
SAN MARCOS, CA, 920782414
Browse CA providers · Browse ZIP 92078
Phone
7607047000
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SAN MARCOS, CA

Name Credential NPI
TONI A RISLEY PT 1104801281
RICHARD SCOTT WRIGHT PT 1447235528
BETTY A. PARMENTER PT 1255308680
ROBIN A BERTHELET PT 1275501843
MISS CARRIE E MINSKE M.P.T. 1063461077
MRS. ASHLEY GARBER D.P.T. 1760431753
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.