Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Todd Van Etten

Individual provider Physical Therapy Assistant · NPI 1033500178

Todd Van Etten is a Physical Therapy Assistant in Lake Forest, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

26318 Misty Gln
Lake Forest, CA 92630-7249
Phone: (949) 202-8905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9605 (CA)

Record details

NPI number1033500178
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2015
Last updated in NPPESFebruary 11, 2015

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