Provider Demographics
NPI:1407955909
Name:O'CONNOR, RACHEL MARIE
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:MARIE
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 SHARONDALE DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-2240
Mailing Address - Country:US
Mailing Address - Phone:727-535-6746
Mailing Address - Fax:727-536-6006
Practice Address - Street 1:14141 46TH ST N
Practice Address - Street 2:#1202
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-3868
Practice Address - Country:US
Practice Address - Phone:727-535-6746
Practice Address - Fax:727-536-6006
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9067225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist