MEDICARE: RACHEL WHITE 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	171W00000X	Contractor	OT 16887	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669832101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL WHITE OTR/L

Provider Business Mailing Address
First Line	:	400 E COLONIAL DR APT 905
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-4534
Country	:	US
Telephone Number	:	407-782-3557
Fax Number	:

Provider Business Practice Location Address
First Line	:	8291 CURRY FORD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-7890
Country	:	US
Telephone Number	:	407-782-3557
Fax Number	:

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

Provider Enumeration Date	:	02/25/2016
Last Update Date	:	02/25/2016

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Directions to “ RACHEL WHITE OTR/L” Practice Location

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