Provider Demographics
NPI:1053955336
Name:APPELBAUM, RACHAEL DENISE (OTR/L)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:DENISE
Last Name:APPELBAUM
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17554-1631
Mailing Address - Country:US
Mailing Address - Phone:717-824-2738
Mailing Address - Fax:
Practice Address - Street 1:1800 VILLAGE CIR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2376
Practice Address - Country:US
Practice Address - Phone:717-399-7032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016690225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist