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NPI Code Detail

MEDICARE: RACHEL BOUZY

MEDICARE: RACHEL BOUZY
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
1225X00000XOccupational Therapist20460FL

General Provider Information

NPI Number : 1326446303
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BOUZY
Provider Business Mailing Address
First Line : 9840 MIRA LEE WAY APT 20513
Second Line :
City : SAN DIEGO
State : CA
Zip : 92126-4761
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 202 AVENUE O NE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-2409
Country : US
Telephone Number : 863-293-3103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2014
Last Update Date : 11/26/2019

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Directions to “ RACHEL BOUZY ” Practice Location

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