Individual
MRS. RACHEL NICOLE OTTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1472
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100675110D
—
OK
01
—
4519052
AETNA
OK
01
—
731300892004
BCBS OK
OK
Enumeration date
04/26/2007
Last updated
08/12/2019
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