Individual
RACHEL RENAE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
85C VINCENT DR, MOUNT PLEASANT, SC 29464-4030
(248) 894-4725
Mailing address
85C VINCENT DR, MOUNT PLEASANT, SC 29464-4030
(248) 894-4725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5805
SC
Other
Enumeration date
12/07/2011
Last updated
03/18/2020
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