Provider Demographics
NPI:1740585066
Name:STREMCHA, RACHEL LEIGH (OTR)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEIGH
Last Name:STREMCHA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LEIGH
Other - Last Name:BONDHUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:237 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TWIN LAKES
Mailing Address - State:WI
Mailing Address - Zip Code:53181-9681
Mailing Address - Country:US
Mailing Address - Phone:262-877-4884
Mailing Address - Fax:262-877-4629
Practice Address - Street 1:237 E MAIN ST
Practice Address - Street 2:
Practice Address - City:TWIN LAKES
Practice Address - State:WI
Practice Address - Zip Code:53181-9681
Practice Address - Country:US
Practice Address - Phone:262-877-4884
Practice Address - Fax:262-877-4629
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2015-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200408225X00000X
WI5069-026225X00000X
IL056-009520225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI860400016OtherMEDICARE