Provider Demographics
NPI:1821337643
Name:NEAL, RACHEL M (OTR)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:M
Last Name:NEAL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-4537
Mailing Address - Country:US
Mailing Address - Phone:870-304-2078
Mailing Address - Fax:870-304-2078
Practice Address - Street 1:205 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-4537
Practice Address - Country:US
Practice Address - Phone:870-304-2078
Practice Address - Fax:870-304-2078
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR2549225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR194811721Medicaid