Provider Demographics
NPI:1588810964
Name:HARMON, RACHEL JO (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:JO
Last Name:HARMON
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 1:17 COLONY RUN
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:NY
Mailing Address - Zip Code:14011-9425
Mailing Address - Country:US
Mailing Address - Phone:585-409-0529
Mailing Address - Fax:
Practice Address - Street 1:17 COLONY RUN
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:NY
Practice Address - Zip Code:14011-9425
Practice Address - Country:US
Practice Address - Phone:585-409-0529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-17
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012329-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics