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NPI Code Detail

MEDICARE: RACHEL WATSON OTR/L

MEDICARE: RACHEL WATSON 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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1093342503
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL WATSON OTR/L
Provider Business Mailing Address
First Line : 2600 COMPASS RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-8001
Country : US
Telephone Number : 618-967-4177
Fax Number :
Provider Business Practice Location Address
First Line : 120 N TOWER RD
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-1929
Country : US
Telephone Number : 618-663-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 03/25/2020

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