MEDICARE: MRS. RACHEL REGINE TOLENTINO RACHEL TOLENTINO

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
1	2251X0800X	Orthopedic Physical Therapist	1163309	TX

General Provider Information

NPI Number	:	1285927186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHEL REGINE TOLENTINO RACHEL TOLENTINO

Provider Business Mailing Address
First Line	:	11520 TIBEE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78726-1926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5145 FM 620 N STE L-110
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78732-1835
Country	:	US
Telephone Number	:	737-273-0490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2011
Last Update Date	:	09/21/2021

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