Healthcare Provider Details

I. General information

NPI: 1285191221
Provider Name (Legal Business Name): RACHAEL HORIL KOBE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHAEL ELISE HORIL

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 10/16/2023
Certification Date: 09/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2092 GAITHER RD STE 100
ROCKVILLE MD
20850-4016
US

IV. Provider business mailing address

2092 GAITHER RD STE 100
ROCKVILLE MD
20850-4016
US

V. Phone/Fax

Practice location:
  • Phone: 301-424-5200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number08875
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: