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NPI Code Detail

MEDICARE: RACHEL BRAUN OTR/L

MEDICARE: RACHEL BRAUN 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 Therapist022506-1NY

General Provider Information

NPI Number : 1750874921
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BRAUN OTR/L
Provider Business Mailing Address
First Line : 833 CENTRAL AVE APT 2L
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-4605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 274 W BROADWAY
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-3911
Country : US
Telephone Number : 732-399-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2018
Last Update Date : 06/12/2018

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Directions to “ RACHEL BRAUN OTR/L” Practice Location

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