Healthcare Provider Details

I. General information

NPI: 1093445009
Provider Name (Legal Business Name): RACHEL BURKE LARSON OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 STARR ST STE 107
PHOENIXVILLE PA
19460-3674
US

IV. Provider business mailing address

785 STARR ST STE 107
PHOENIXVILLE PA
19460-3674
US

V. Phone/Fax

Practice location:
  • Phone: 610-983-9300
  • Fax: 610-983-3874
Mailing address:
  • Phone: 610-983-9300
  • Fax: 610-983-3874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC018493
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: