Provider Demographics
NPI:1760742332
Name:MURPHY, RACHELLE MARIE (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:MARIE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 6TH ST
Mailing Address - Street 2:UNIT L
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-1784
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:343 6TH ST
Practice Address - Street 2:UNIT L
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-1784
Practice Address - Country:US
Practice Address - Phone:951-235-7456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11478225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist