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NPI Code Detail

MEDICARE: REBEKAH JORDAN SCHACHNER OTD, OTR/L

MEDICARE: REBEKAH JORDAN SCHACHNER OTD, OTR/L
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
1106S00000XBehavior TechnicianRBT-19-82343FL
2225X00000XOccupational TherapistOT008829GA

General Provider Information

NPI Number : 1306307699
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH JORDAN SCHACHNER OTD, OTR/L
Provider Business Mailing Address
First Line : 525 GLEN IRIS DR NE UNIT 3320
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2982
Country : US
Telephone Number : 954-649-7427
Fax Number :
Provider Business Practice Location Address
First Line : 5660 LAKE FORREST DR
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4635
Country : US
Telephone Number : 404-500-9185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2019
Last Update Date : 09/17/2024

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