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NPI Code Detail

MEDICARE: RACHEL WILEY O.T.

MEDICARE: RACHEL WILEY O.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC013187PA

General Provider Information

NPI Number : 1043634421
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL WILEY O.T.
Provider Business Mailing Address
First Line : 445 OLD EAGLE SCHOOL RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-2006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 445 OLD EAGLE SCHOOL RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-2006
Country : US
Telephone Number : 484-919-5601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2014
Last Update Date : 11/14/2016

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Directions to “ RACHEL WILEY O.T.” Practice Location

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