Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 8969 | CA |
Y | 225XL0004X | Low Vision | 8969 | CA |
NPI | 1841637667 |
---|---|
Provider Name | Dr. Rachel Cheryl Simkin |
First Address | Sherman Oaks, CA 91403-1647 |
Second Address | Encino, CA 91436-2302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2013 |
Last Update Date | 03/06/2013 |