MEDICARE: MS. RACHEL SPIERS OTR/L ATP

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	0088777	NY
2	225X00000X	Occupational Therapist	008877	NY

General Provider Information

NPI Number	:	1720569775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RACHEL SPIERS OTR/L ATP

Provider Business Mailing Address
First Line	:	400 E FORDHAM RD FL 10
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5059
Country	:	US
Telephone Number	:	718-496-8272
Fax Number	:	718-907-1672

Provider Business Practice Location Address
First Line	:	400 E FORDHAM RD FL 10
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5059
Country	:	US
Telephone Number	:	718-496-8272
Fax Number	:	718-907-1672

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

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	08/31/2018

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