Provider Demographics
NPI:1780224980
Name:COMMANDER, EMILY REXRODE (OT/L)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:REXRODE
Last Name:COMMANDER
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KATHRYN
Other - Last Name:REXRODE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT/L
Mailing Address - Street 1:5116 OAKBROOK DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8004
Mailing Address - Country:US
Mailing Address - Phone:401-741-4252
Mailing Address - Fax:
Practice Address - Street 1:2680 S MEBANE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5695
Practice Address - Country:US
Practice Address - Phone:336-227-0590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9129225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology