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NPI Code Detail

MEDICARE: EMILY RAUH MOT, OTR/L

MEDICARE:   EMILY  RAUH  MOT, OTR/L
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 TherapistOT21297CA

General Provider Information

NPI Number : 1407465347
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY RAUH MOT, OTR/L
Provider Business Mailing Address
First Line : 22921 MULLIN RD
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-2943
Country : US
Telephone Number : 949-291-0802
Fax Number :
Provider Business Practice Location Address
First Line : 31351 RANCHO VIEJO RD STE 107
Second Line :
City : SAN JUAN CAPISTRANO
State : CA
Zip : 92675-1857
Country : US
Telephone Number : 949-276-2426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2020
Last Update Date : 08/28/2020

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Directions to “ EMILY RAUH MOT, OTR/L” Practice Location

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