Provider Demographics
NPI:1740073337
Name:RATHI, PRACHI (OTR/L)
Entity type:Individual
Prefix:
First Name:PRACHI
Middle Name:
Last Name:RATHI
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 1:6971 BUSINESS PARK BLVD N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-2777
Mailing Address - Country:US
Mailing Address - Phone:904-880-9900
Mailing Address - Fax:904-880-3241
Practice Address - Street 1:6971 BUSINESS PARK BLVD N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-2777
Practice Address - Country:US
Practice Address - Phone:904-880-9900
Practice Address - Fax:904-880-3241
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT5334225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty