Provider Demographics
NPI:1447596051
Name:EPSTEIN, RACHEL BRENDA (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:BRENDA
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 PONDEROSA DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2578
Mailing Address - Country:US
Mailing Address - Phone:215-820-1288
Mailing Address - Fax:
Practice Address - Street 1:125 PONDEROSA DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2578
Practice Address - Country:US
Practice Address - Phone:215-820-1288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-31
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012666225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist