Healthcare Provider Details

I. General information

NPI: 1396313748
Provider Name (Legal Business Name): RACHEL USDIN OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 06/14/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 W END AVE APT 2
NEW YORK NY
10025-6256
US

IV. Provider business mailing address

200 E 61ST ST APT 17B
NEW YORK NY
10065-8582
US

V. Phone/Fax

Practice location:
  • Phone: 212-663-3331
  • Fax:
Mailing address:
  • Phone: 908-670-2960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: