Rachel Ann Gaughenbaugh, OTR/L
Occupational Therapist, Pediatrics in Los Angeles, CA. Individual provider (NPI-1).
NPI number1164070207
StatusActive
Last updated in NPPESSep 2, 2019
Details
- NPI
- 1164070207
- Entity type
- Individual (NPI-1)
- Name
- Rachel Ann Gaughenbaugh
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2019
- Last updated
- Sep 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 0T20385 | CA | Yes |
Practice location
10780 Santa Monica Blvd Ste 405Los Angeles, CA 90025-7655
Phone 310-234-0300
Mailing address
5228 Willowcrest Ave Unit 1North Hollywood, CA 91601-3414
Phone 304-670-6315
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