Rachel Bittenson, OTR/L

Individual provider Active NPI Occupational Therapist · Park City, UT

NPI 1912428186 · NPPES record last updated Jun 28, 2017

Key facts

NPI
1912428186
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
17044 (CA)
Practice address
1640 Redstone Center Dr Ste 200
Park City, UT 84098-7607
Phone
(866) 474-6677
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
17044CAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17044 CA Yes

Addresses

Primary practice location

1640 Redstone Center Dr Ste 200
Park City, UT 84098-7607

Mailing address

363 Countryside Rd
Oak Park, CA 91377-3837

Other providers in Park City, UT

All providers in Park City, UT · Occupational Therapist in Utah

Sources for this page

Verify at the official NPI Registry.