MEDICARE: RACHEL ELIAS MOT, 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	5201009393	MI

General Provider Information

NPI Number	:	1275035396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ELIAS MOT, OTR/L

Provider Business Mailing Address
First Line	:	30637 W 14 MILE RD
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-1531
Country	:	US
Telephone Number	:	248-983-4780
Fax Number	:

Provider Business Practice Location Address
First Line	:	30637 W 14 MILE RD
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-1531
Country	:	US
Telephone Number	:	248-983-4780
Fax Number	:

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

Provider Enumeration Date	:	03/05/2018
Last Update Date	:	03/23/2026

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