Individual
RACHEL LYNN JOLIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
350 S 8TH ST, LEBANON, OR 97355-2242
(541) 259-1221
(541) 259-3255
Mailing address
11825 Q ST, OMAHA, NE 68137-3503
(800) 456-5857
(402) 895-7812
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
221081
OR
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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