Provider Demographics
NPI:1598898595
Name:RECHEN, RONEL STROH (OTR)
Entity Type:Individual
Prefix:MRS
First Name:RONEL
Middle Name:STROH
Last Name:RECHEN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:RONEL
Other - Middle Name:
Other - Last Name:STROH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:74 LILAC DR
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3448
Mailing Address - Country:US
Mailing Address - Phone:908-612-4879
Mailing Address - Fax:908-752-4799
Practice Address - Street 1:455 WESTERN AVE
Practice Address - Street 2:GENESIS REHAB SERVICES
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4912
Practice Address - Country:US
Practice Address - Phone:973-538-2886
Practice Address - Fax:973-871-1128
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00108100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1012121OtherNBCOT CERTIFICATION