Ottley, Rachel Nicole

Ottley, Rachel Nicole is an individual health care provider with primary practice located at 2257 W Washington St , Broken Arrow OK 74012-6703. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ottley, Rachel Nicole can be contacted via phone (918) 994-7799.

Contact Information

Primary practice address
2257 W Washington St Broken Arrow OK 74012-6703
Phone: (918) 994-7799
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1472 Oklahoma

Profile Details

NPI number 1134349921
LBN Legal business name Ottley, Rachel Nicole
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Aug 12th, 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 1134349921 NPPES
Oklahoma Other 4519052 AETNA
Oklahoma Other 731300892004 AETNA
Oklahoma MEDICAID 100675110D AETNA

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