Healthcare Provider Details

I. General information

NPI: 1881472082
Provider Name (Legal Business Name): RACHEL EILEEN DENIS MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 BEAR CORBITT RD
BEAR DE
19701-1323
US

IV. Provider business mailing address

438 GEDDES ST
WILMINGTON DE
19805-3717
US

V. Phone/Fax

Practice location:
  • Phone: 302-354-7059
  • Fax:
Mailing address:
  • Phone: 302-354-7059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberU1-0001517
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: