Doctor Name: | MICHAEL RABOLD |
NPI Number: | 1346601515 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OTR/L |
License Number: | OT 16081 |
Business Practice Address: | 6328 Fairmount Ave Suite 220 El Cerrito, CA - 945303665 |
Business Phone Number: | 5105252700 |
Business Fax Number: | 5105252716 |
Mailing Address: | 6328 Fairmount Ave, Suite 220 EL CERRITO |
State: | CA |
Postal Code: | 945303665 |
Phone Number: | 5105252700 |
Fax Number: | 5105252716 |
NPI Enumeration Date: | 03/15/2016 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OT 16081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |