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NPI Code Detail

MEDICARE: RACHEL BRISENO

MEDICARE: RACHEL BRISENO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOT24361CA

General Provider Information

NPI Number : 1023707767
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BRISENO
Provider Business Mailing Address
First Line : 742 HILLSBORO WAY
Second Line :
City : SAN MARCOS
State : CA
Zip : 92069-3573
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8755 AERO DR STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1750
Country : US
Telephone Number : 619-578-2232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 05/27/2024

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Directions to “ RACHEL BRISENO ” Practice Location

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