Individual
RACHEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 S ORTONVILLE RD, ORTONVILLE, MI 48462-8546
(248) 627-1800
Mailing address
5840 CROSWELL RD, WATERFORD, MI 48327-1323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201002911
OTR CREDENTIAL
—
Enumeration date
02/01/2019
Last updated
06/11/2019
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