Provider Demographics
NPI:1497967905
Name:RACHEL TRAILL OCCUPATIONAL THERAPY LLC
Entity Type:Organization
Organization Name:RACHEL TRAILL OCCUPATIONAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TRAILL
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:772-370-5549
Mailing Address - Street 1:2686 SW REGENCY ROAD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-1223
Mailing Address - Country:US
Mailing Address - Phone:772-370-5549
Mailing Address - Fax:772-781-4407
Practice Address - Street 1:1330 NE JENSEN BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34950
Practice Address - Country:US
Practice Address - Phone:772-370-5549
Practice Address - Fax:772-781-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9579225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty