Provider Demographics
NPI:1376858647
Name:CHAIET, RACHEL GAIL (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:GAIL
Last Name:CHAIET
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:GAIL
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:28 DIESCHER DR
Mailing Address - Street 2:
Mailing Address - City:MONGAUP VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12762-5000
Mailing Address - Country:US
Mailing Address - Phone:570-228-8799
Mailing Address - Fax:
Practice Address - Street 1:606 OLD ROUTE 17
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-7013
Practice Address - Country:US
Practice Address - Phone:845-858-8093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016230-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist