Individual
RACHEL KAYE PORTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604
(801) 357-7765
Mailing address
10255 S 1ST E, IDAHO FALLS, ID 83404-7776
(208) 521-9967
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8957425-4201
UT
225X00000X
Occupational Therapist
OT-919
ID
Other
Enumeration date
03/20/2014
Last updated
08/15/2018
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