Healthcare Provider Details

I. General information

NPI: 1588076442
Provider Name (Legal Business Name): RACHEL LYNN PARTNER OTD, OTR/L, CLVT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E STATE ST
MEDIA PA
19063-3434
US

IV. Provider business mailing address

20 S 3RD ST
MIFFLINTOWN PA
17059-1401
US

V. Phone/Fax

Practice location:
  • Phone: 610-892-8767
  • Fax:
Mailing address:
  • Phone: 717-994-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC012893
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License NumberOC012893
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: