Individual
RACHEL ANN GAUGHENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10780 SANTA MONICA BLVD STE 405, LOS ANGELES, CA 90025-7655
(310) 234-0300
Mailing address
5228 WILLOWCREST AVE UNIT 1, NORTH HOLLYWOOD, CA 91601-3414
(304) 670-6315
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0T20385
CA
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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