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NPI Code Detail

MEDICARE: RACHEL OESTREICH M.A.

MEDICARE: RACHEL OESTREICH M.A.
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
1106H00000XMarriage & Family TherapistIMT 2175FL

General Provider Information

NPI Number : 1245635168
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL OESTREICH M.A.
Provider Business Mailing Address
First Line : 119 BLUE CREEK DR
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-5501
Country : US
Telephone Number : 407-719-5312
Fax Number :
Provider Business Practice Location Address
First Line : 7320 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33637-0916
Country : US
Telephone Number : 386-259-5413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2014
Last Update Date : 11/04/2014

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