Provider Demographics
NPI:1841614047
Name:RAHRIG, CARLA (COTA/L)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:RAHRIG
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 N WALKER ST
Mailing Address - Street 2:
Mailing Address - City:GRAYTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43432-9800
Mailing Address - Country:US
Mailing Address - Phone:419-627-3900
Mailing Address - Fax:419-627-3997
Practice Address - Street 1:1661 N WALKER ST
Practice Address - Street 2:
Practice Address - City:GRAYTOWN
Practice Address - State:OH
Practice Address - Zip Code:43432-9800
Practice Address - Country:US
Practice Address - Phone:419-627-3900
Practice Address - Fax:419-627-3997
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA.02861224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant