MEDICARE: RACHEL CLAIRE JOHNSON

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1730835794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL CLAIRE JOHNSON

Provider Business Mailing Address
First Line	:	1434 PUNAHOU ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96822-4754
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1434 PUNAHOU ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96822-4754
Country	:	US
Telephone Number	:	808-941-0941
Fax Number	:

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

Provider Enumeration Date	:	02/28/2022
Last Update Date	:	02/28/2022

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Directions to “ RACHEL CLAIRE JOHNSON ” Practice Location

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