Provider Demographics
NPI:1053018606
Name:SONNE, RACHEL MARY ELIZABETH (MSOT, OTR/L)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARY ELIZABETH
Last Name:SONNE
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-1111
Mailing Address - Country:US
Mailing Address - Phone:609-582-5598
Mailing Address - Fax:
Practice Address - Street 1:423 E HIGH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-1111
Practice Address - Country:US
Practice Address - Phone:609-582-5598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC018851225X00000X
HIOT-2320225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist