Provider Demographics
NPI:1891367785
Name:JONES, RACHEL LEE (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:EARLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:3480 S AKRON ST APT 11
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4676
Mailing Address - Country:US
Mailing Address - Phone:440-823-8716
Mailing Address - Fax:
Practice Address - Street 1:3629 W 29TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3601
Practice Address - Country:US
Practice Address - Phone:303-433-7221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOTA.00001062224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant