MEDICARE: RACHEL S DUFF OT

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	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1174042618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL S DUFF OT

Provider Business Mailing Address
First Line	:	1022 WATER LILY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78260-6026
Country	:	US
Telephone Number	:	678-698-8788
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 LADD ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78236-5308
Country	:	US
Telephone Number	:	678-698-8878
Fax Number	:

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

Provider Enumeration Date	:	09/15/2017
Last Update Date	:	02/12/2021

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Directions to “ RACHEL S DUFF OT” Practice Location

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