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NPI Code Detail

MEDICARE: MRS. RACHEL ANN CAINE MOT,OTR/L

MEDICARE: MRS. RACHEL ANN CAINE 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
1225X00000XOccupational TherapistOC013000PA

General Provider Information

NPI Number : 1689169369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL ANN CAINE MOT,OTR/L
Provider Business Mailing Address
First Line : 700 LEONARD ST
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-3245
Country : US
Telephone Number : 814-765-7546
Fax Number :
Provider Business Practice Location Address
First Line : 700 LEONARD ST
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-3245
Country : US
Telephone Number : 814-765-7546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2018
Last Update Date : 06/26/2018

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