Provider Demographics
NPI:1659798544
Name:MEREDITH, RACHEL ROBINSON (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ROBINSON
Last Name:MEREDITH
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 WILLIFORD RD
Mailing Address - Street 2:
Mailing Address - City:BALL
Mailing Address - State:LA
Mailing Address - Zip Code:71405
Mailing Address - Country:US
Mailing Address - Phone:318-613-7538
Mailing Address - Fax:318-443-3143
Practice Address - Street 1:1646 MILITARY HWY
Practice Address - Street 2:RED RIVER REHAB
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360
Practice Address - Country:US
Practice Address - Phone:318-443-9305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ20518224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant