MEDICARE: RACHEL ANTONE OTR/L

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
1	225X00000X	Occupational Therapist	5201010640	MI

General Provider Information

NPI Number	:	1073225843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ANTONE OTR/L

Provider Business Mailing Address
First Line	:	13878 GRANDPOINT CIR
Second Line	:
City	:	CEMENT CITY
State	:	MI
Zip	:	49233-9746
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13878 GRANDPOINT CIR
Second Line	:
City	:	CEMENT CITY
State	:	MI
Zip	:	49233-9746
Country	:	US
Telephone Number	:	517-745-0043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2022
Last Update Date	:	12/23/2022

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Directions to “ RACHEL ANTONE OTR/L” Practice Location

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