MEDICARE: ROCHELLE ROSSMAN REICHEL OTR/L, CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5201000639	MI

General Provider Information

NPI Number	:	1063786440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE ROSSMAN REICHEL OTR/L, CHT

Provider Business Mailing Address
First Line	:	31246 FRANK DR
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48093-1609
Country	:	US
Telephone Number	:	586-604-9999
Fax Number	:	586-979-3449

Provider Business Practice Location Address
First Line	:	31246 FRANK DR
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48093-1609
Country	:	US
Telephone Number	:	586-604-9999
Fax Number	:	586-979-3449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2012
Last Update Date	:	03/01/2012

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