Healthcare Provider Details

I. General information

NPI: 1205558418
Provider Name (Legal Business Name): RACHEL NATALIE LEWAND-PARKER LPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2022
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31500 ROYALVIEW DR
WILLOWICK OH
44095-4256
US

IV. Provider business mailing address

658 GLOUCESTER DR
HIGHLAND HEIGHTS OH
44143-2002
US

V. Phone/Fax

Practice location:
  • Phone: 216-640-1320
  • Fax:
Mailing address:
  • Phone: 216-640-1320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA012098
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: