Individual
SALLY A RACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
8897 MENTOR AVENUE, MENTOR, OH 44060
(440) 205-8848
(440) 205-9818
Mailing address
8897 MENTOR AVENUE, MENTOR, OH 44060
(440) 205-8848
(440) 205-9818
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0526
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2593420
—
OH
Enumeration date
05/31/2007
Last updated
11/19/2014
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