Basic Information
| Provider Information | |||||||||
| NPI: | 1851871586 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EMAS | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 980 ROOSEVELT STE 1000 | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926203672 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9493336400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 980 ROOSEVELT STE 100 | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9493336400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2018 | ||||||||
| LastUpdateDate: | 05/13/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.