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Individual
DR. RACHELLE LYDELL
Active
Individual
DR. RACHELLE LYDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, MSOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6682
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019577
LICENSE NUMBER
NY
Enumeration date
03/24/2015
Last updated
03/29/2023
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