Provider Demographics
NPI:1497001390
Name:RAPP, DOTTIE (OTA)
Entity Type:Individual
Prefix:
First Name:DOTTIE
Middle Name:
Last Name:RAPP
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 854
Mailing Address - Street 2:
Mailing Address - City:PEMBERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43450-0854
Mailing Address - Country:US
Mailing Address - Phone:419-334-9521
Mailing Address - Fax:419-334-2045
Practice Address - Street 1:600 N BRUSH ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-1402
Practice Address - Country:US
Practice Address - Phone:419-334-9521
Practice Address - Fax:419-334-2045
Is Sole Proprietor?:No
Enumeration Date:2012-07-28
Last Update Date:2012-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02679224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant