Todd Van Etten
NPI #1033500178 in Lake Forest, California
Provider Information
- NPI Number
- 1033500178
- Entity Type
- Individual
- Name
- Todd Van Etten
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Feb 11, 2015
- Last Updated
- Feb 11, 2015
Practice Location
- Address
- 26318 MISTY GLN
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-7249
- Phone
- (949) 202-8905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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