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NPI Code Detail

MEDICARE: RACHELL RODA FLORES ONCENA

MEDICARE: RACHELL RODA FLORES ONCENA
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
1225100000XPhysical Therapist21335MD

General Provider Information

NPI Number : 1639385057
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHELL RODA FLORES ONCENA
Provider Business Mailing Address
First Line : 1221 WAUGH CHAPEL RD
Second Line :
City : GAMBRILLS
State : MD
Zip : 21054-1608
Country : US
Telephone Number : 443-292-7345
Fax Number : 443-292-7338
Provider Business Practice Location Address
First Line : 1221 WAUGH CHAPEL RD
Second Line :
City : GAMBRILLS
State : MD
Zip : 21054-1608
Country : US
Telephone Number : 443-292-7345
Fax Number : 443-292-7338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 10/30/2015

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Directions to “ RACHELL RODA FLORES ONCENA ” Practice Location

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