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NPI 1760317721

NPI 1760317721 : KAREN RIEGERT #1210, OT/L : SAN JUAN CAPISTRANO, CA

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General NPI Number Information
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    NPI Number           |    1760317721
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN RIEGERT #1210, OT/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/12/2026
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    Last Update Date     |    06/12/2026
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Provider Practice Location Address
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    Address Line         |    33122 VALLE RD 
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    City                 |    SAN JUAN CAPISTRANO
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    State                |    CA
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    Zip                  |    92675-4853
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    Country              |    US
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    Telephone            |    949-234-9200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    33122 VALLE RD 
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    City                 |    SAN JUAN CAPISTRANO
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    State                |    CA
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    Zip                  |    92675-4853
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    Country              |    US
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    Telephone            |    949-234-9200
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    1210
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    License Number State |    CA
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