Individual
RACHEL LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 GREGORY AVE, PASSAIC, NJ 07055-2936
(201) 661-1769
Mailing address
95 HIGH ST, PASSAIC, NJ 07055-4751
(201) 661-1769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00899300
NJ
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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