MEDICARE: RACHEL STEPHENS OTR

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	31006500A	IN

General Provider Information

NPI Number	:	1720618325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL STEPHENS OTR

Provider Business Mailing Address
First Line	:	335 W 9TH ST UNIT 913
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-3731
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6440 W 34TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-1138
Country	:	US
Telephone Number	:	317-293-4930
Fax Number	:

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

Provider Enumeration Date	:	01/22/2020
Last Update Date	:	01/22/2020

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Directions to “ RACHEL STEPHENS OTR” Practice Location

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