Healthcare Provider Details

I. General information

NPI: 1558298299
Provider Name (Legal Business Name): RACHEL PAULA BARABAN OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W BELVEDERE AVE
BALTIMORE MD
21215-5216
US

IV. Provider business mailing address

2401 W BELVEDERE AVE
BALTIMORE MD
21215-5216
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-5502
  • Fax: 410-601-7432
Mailing address:
  • Phone: 410-601-5502
  • Fax: 410-601-7432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number08855
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: