Individual
MRS. RACHELLE ANGELINA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
880 6TH ST S, ST PETERSBURG, FL 33701-4827
(727) 767-4257
(727) 767-8847
Mailing address
1346 30TH AVE N, ST PETERSBURG, FL 33704-1933
(239) 851-2475
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT14823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004611500
—
FL
Enumeration date
09/20/2011
Last updated
06/21/2019
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