Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XM0800X | Mental Health | 14712 | CA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT14712 | CA |
NPI | 1871997445 |
---|---|
Provider Name | Rachel Elizabeth Marshall |
First Address | Arcadia, CA 91006-2314 |
Second Address | Arcadia, CA 91006-2314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2014 |
Last Update Date | 18/08/2015 |