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Individual

RACHEL KATHERINE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4 NESHAMINY INTERPLEX DR STE 202, FEASTERVILLE TREVOSE, PA 19053-6940
(215) 332-8860
Mailing address
214 E SALAIGNAC ST APT C1, PHILADELPHIA, PA 19128-3747
(570) 466-9214

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC015310
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102436983-000
PA
Enumeration date
10/11/2017
Last updated
10/11/2017
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