Wahl, Marissa

Wahl, Marissa is an individual health care provider with primary practice located at 11420 Warner Ave , Fountain Valley CA 92708-2529. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wahl, Marissa can be contacted via phone (657) 204-2959.

Contact Information

Primary practice address
11420 Warner Ave Fountain Valley CA 92708-2529
Phone: (657) 204-2959
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 52029 California

Profile Details

NPI number 1336838937
LBN Legal business name Wahl, Marissa
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2023
Last updated May 1st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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