Provider Demographics
NPI:1790181097
Name:LAWRENCE, RACHEL GLASER (MOT, OTR)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:GLASER
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1827
Mailing Address - Country:US
Mailing Address - Phone:940-391-8430
Mailing Address - Fax:
Practice Address - Street 1:1421 ONEIDA ST UNIT 2
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-2953
Practice Address - Country:US
Practice Address - Phone:940-391-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist