Provider Demographics
NPI:1821742297
Name:PECCI, RACHEL VERONICA (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:VERONICA
Last Name:PECCI
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 1:70 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-1006
Mailing Address - Country:US
Mailing Address - Phone:201-925-2370
Mailing Address - Fax:
Practice Address - Street 1:155 FOREST BLVD
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1036
Practice Address - Country:US
Practice Address - Phone:617-784-6396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00894900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist