Healthcare Provider Details

I. General information

NPI: 1962324970
Provider Name (Legal Business Name): RACHEL ANN TARZOHO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4619 S HARVARD AVE STE 102
TULSA OK
74135-2944
US

IV. Provider business mailing address

441 NARROWS RD
CONNELLSVILLE PA
15425-6141
US

V. Phone/Fax

Practice location:
  • Phone: 539-867-3151
  • Fax:
Mailing address:
  • Phone: 724-366-7232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOP010693
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: