MEDICARE: RACHAEL CUTTER 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	019611	NY

General Provider Information

NPI Number	:	1720474638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL CUTTER OTR/L

Provider Business Mailing Address
First Line	:	5 LAMPLIGHTER ACRES
Second Line	:
City	:	FORT EDWARD
State	:	NY
Zip	:	12828-9311
Country	:	US
Telephone Number	:	518-796-7785
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 LAMPLIGHTER ACRES
Second Line	:
City	:	FORT EDWARD
State	:	NY
Zip	:	12828-9311
Country	:	US
Telephone Number	:	518-796-7785
Fax Number	:

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

Provider Enumeration Date	:	04/08/2015
Last Update Date	:	04/08/2015

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