Healthcare Provider Details

I. General information

NPI: 1831527498
Provider Name (Legal Business Name): RACHEL FRANK MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2013
Last Update Date: 10/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13502 COPPER HEAD DR
RIVERVIEW FL
33569-2732
US

IV. Provider business mailing address

13502 COPPER HEAD DR
RIVERVIEW FL
33569-2732
US

V. Phone/Fax

Practice location:
  • Phone: 813-653-1301
  • Fax:
Mailing address:
  • Phone: 813-653-1301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number15949
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: