Healthcare Provider Details

I. General information

NPI: 1083119093
Provider Name (Legal Business Name): RACHEL KAROL VELEN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 03/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29516 KOHOUTEK WAY
UNION CITY CA
94587-1221
US

IV. Provider business mailing address

3989 BROOKDALE AVE
OAKLAND CA
94619-1722
US

V. Phone/Fax

Practice location:
  • Phone: 510-441-8240
  • Fax:
Mailing address:
  • Phone: 510-725-8849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: