Healthcare Provider Details

I. General information

NPI: 1467171603
Provider Name (Legal Business Name): RACHEL ESLICKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N ESTES DR
CHAPEL HILL NC
27514-7113
US

IV. Provider business mailing address

2003 WA WA AVE
DURHAM NC
27707-1949
US

V. Phone/Fax

Practice location:
  • Phone: 919-929-2160
  • Fax:
Mailing address:
  • Phone: 903-570-7810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: