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NPI Code Detail

MEDICARE: REBECCA RATH M.S., OTR/L

MEDICARE:   REBECCA  RATH  M.S., 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
1225XP0200XPediatric Occupational Therapist0119001625VA

General Provider Information

NPI Number : 1255709242
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA RATH M.S., OTR/L
Provider Business Mailing Address
First Line : 1340 BRADDOCK PL
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1693
Country : US
Telephone Number : 703-706-4440
Fax Number :
Provider Business Practice Location Address
First Line : 1340 BRADDOCK PL
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1693
Country : US
Telephone Number : 703-706-4440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2015
Last Update Date : 10/17/2018

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Directions to “ REBECCA RATH M.S., OTR/L” Practice Location

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