Provider Demographics
NPI:1942719331
Name:MANNING, RACHEL CLAIRE BERENT (OTR/L)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:CLAIRE BERENT
Last Name:MANNING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:CLAIRE
Other - Last Name:BERENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:329 CORONADO ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1857 KNOLL DRIVE
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-667-8200
Practice Address - Fax:805-667-8201
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-28
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118683225X00000X
CA21447225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist