Provider Demographics
NPI:1316220643
Name:GARR, RACHEL LANDAU
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:LANDAU
Last Name:GARR
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:LANDAU
Other - Last Name:GARR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:18440 N 68TH ST
Mailing Address - Street 2:APT. 4044
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-9127
Mailing Address - Country:US
Mailing Address - Phone:760-898-2522
Mailing Address - Fax:
Practice Address - Street 1:32531 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 105-162
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-1519
Practice Address - Country:US
Practice Address - Phone:480-488-3946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2899174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist