Provider Demographics
NPI:1619132982
Name:PROSPERI, RACHELLE LEE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:LEE
Last Name:PROSPERI
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 1:8330 AURORA CT
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8828
Mailing Address - Country:US
Mailing Address - Phone:614-580-6121
Mailing Address - Fax:
Practice Address - Street 1:8330 AURORA CT
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-8828
Practice Address - Country:US
Practice Address - Phone:614-580-6121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT 005069225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist