Provider Demographics
NPI:1477298834
Name:FRESHWATER, RACHEL ELISE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ELISE
Last Name:FRESHWATER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 POPLAR CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-9157
Mailing Address - Country:US
Mailing Address - Phone:440-829-6449
Mailing Address - Fax:
Practice Address - Street 1:270 POPLAR CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-9157
Practice Address - Country:US
Practice Address - Phone:440-829-6449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-30
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT009162225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist