Provider Demographics
NPI:1861815854
Name:MILANEZ, RACHEL (OTR/L)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MILANEZ
Suffix:
Gender:F
Credentials: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:PO BOX 283
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:ID
Mailing Address - Zip Code:83836-0283
Mailing Address - Country:US
Mailing Address - Phone:503-516-3736
Mailing Address - Fax:
Practice Address - Street 1:620 WELLINGTON PL
Practice Address - Street 2:B
Practice Address - City:HOPE
Practice Address - State:ID
Practice Address - Zip Code:83836-8709
Practice Address - Country:US
Practice Address - Phone:503-516-3736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-27
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13527225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist