Healthcare Provider Details

I. General information

NPI: 1326969338
Provider Name (Legal Business Name): RACHEL LEA GRECCO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3348 W MCDOWELL RD
PHOENIX AZ
85009-2416
US

IV. Provider business mailing address

6215 FERRIS SQ
SAN DIEGO CA
92121-3283
US

V. Phone/Fax

Practice location:
  • Phone: 602-455-6700
  • Fax:
Mailing address:
  • Phone: 800-683-1209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTH-010388
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: