Mirella Squillace, PTA

NPI #1326514738 in Sherman Oaks, California

Provider Information

NPI Number: 1326514738
Entity Type: Individual
Name: Mirella Squillace, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 23, 2018
Last Updated: Oct 23, 2018

Practice Location

Address: 4940 VAN NUYS BLVD
City: Sherman Oaks
State: California
ZIP Code: 91403-1700
Phone: (818) 907-0952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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