Provider Demographics
NPI:1407216195
Name:SCHERBAN, RACHEL (OT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SCHERBAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 MAMARONECK AVE
Mailing Address - Street 2:APT 507
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3760
Mailing Address - Country:US
Mailing Address - Phone:917-715-2035
Mailing Address - Fax:
Practice Address - Street 1:123 MAMARONECK AVE
Practice Address - Street 2:APT 507
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3760
Practice Address - Country:US
Practice Address - Phone:917-715-2035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010004-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist