Individual
RACHEL L PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3077 N MAYFAIR RD STE 105, WAUWATOSA, WI 53222-4305
(414) 455-5797
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6309-26
WI
Other
Enumeration date
07/30/2018
Last updated
10/18/2018
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