Provider Demographics
NPI:1851530232
Name:RAPE, SANDRA GAIL (OTR)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:GAIL
Last Name:RAPE
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 1:2770 SLATE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-6369
Mailing Address - Country:US
Mailing Address - Phone:606-875-0996
Mailing Address - Fax:606-202-7247
Practice Address - Street 1:2770 SLATE BRANCH RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-6369
Practice Address - Country:US
Practice Address - Phone:606-875-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY134483225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY134483OtherLICENSURE NUMBER