Provider Demographics
NPI:1548741382
Name:GILLIGAN, RACHEL LYNN (MOT, OTR/L, ATP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LYNN
Last Name:GILLIGAN
Suffix:
Gender:F
Credentials:MOT, OTR/L, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14305 MONTROSE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-1434
Mailing Address - Country:US
Mailing Address - Phone:216-644-0428
Mailing Address - Fax:
Practice Address - Street 1:47160 HOLLSTEIN DR STE 200
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-3338
Practice Address - Country:US
Practice Address - Phone:440-960-3400
Practice Address - Fax:440-960-4646
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH009296225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics