Individual
RACHEL IMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 DOW AVE STE 114, TUSTIN, CA 92780-7247
(714) 745-4579
Mailing address
14322 CHERRYWOOD LN, TUSTIN, CA 92780-6946
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1931
CA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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