Healthcare Provider Details

I. General information

NPI: 1083380976
Provider Name (Legal Business Name): RACHEL STRAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL NAGY COTA/L

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 08/19/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N MILLER RD STE 150A
FAIRLAWN OH
44333-3713
US

IV. Provider business mailing address

3974 HIGHLAND DR
MOGADORE OH
44260-2111
US

V. Phone/Fax

Practice location:
  • Phone: 330-867-2240
  • Fax:
Mailing address:
  • Phone: 330-715-6325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA008010
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: