Individual
MRS. RACHEL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12406 14TH AVE, COLLEGE POINT, NY 11356-1802
(718) 352-0104
Mailing address
18 CLINTON ST, MALVERNE, NY 11565-1804
(516) 662-6894
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017323-1
NY
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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