Provider Demographics
NPI:1598800229
Name:RHODES, RAYNA SAPER (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RAYNA
Middle Name:SAPER
Last Name:RHODES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:RAYNA
Other - Middle Name:J
Other - Last Name:SAPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:859 BAYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-1627
Mailing Address - Country:US
Mailing Address - Phone:203-275-8442
Mailing Address - Fax:
Practice Address - Street 1:859 BAYBERRY LN
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-1627
Practice Address - Country:US
Practice Address - Phone:203-275-8442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013328225XP0200X
CT003457225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics