Mitchell Vandel-Holm, PT, DPT, ATC, CSCS

NPI 1700432101 · on the registry since 2019 · sole proprietor

Practice

Address: 1482 La Mirada Dr
San Marcos, CA 92078
Phone: (760) 704-7000
Organisation at this address: Jg Performance Fitness, Inc.
Healthwest Physical Therapy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California