=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598898595
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RONEL STROH RECHEN OTR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 455 WESTERN AVE GENESIS REHAB SERVICES
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960-4912
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-538-2886
-----------------------------------------------------
Fax | 973-871-1128
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 74 LILAC DR
-----------------------------------------------------
City | ANNANDALE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08801-3448
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-612-4879
-----------------------------------------------------
Fax | 908-752-4799
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 46TR00108100
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------