Healthcare Provider Details

I. General information

NPI: 1437832813
Provider Name (Legal Business Name): RACHEL STROH COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 08/10/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 WEYMOUTH RD
MEDINA OH
44256-2037
US

IV. Provider business mailing address

154 E AURORA RD # 218
NORTHFIELD OH
44067-2053
US

V. Phone/Fax

Practice location:
  • Phone: 330-636-3031
  • Fax:
Mailing address:
  • Phone: 330-998-2055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA008477
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: