Lee, Rachelle Angelina

Lee, Rachelle Angelina is an sole proprietor health care provider with primary practice located at 880 6Th St S , St Petersburg FL 33701-4827. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Lee, Rachelle Angelina can be contacted via phone (727) 767-4257.

Contact Information

Primary practice address
880 6Th St S St Petersburg FL 33701-4827
Phone: (727) 767-4257
Fax: (727) 767-8847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT14823 Florida

Profile Details

NPI number 1174806806
LBN Legal business name Lee, Rachelle Angelina
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2011
Last updated Jun 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174806806 NPPES
Florida MEDICAID 004611500

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