Provider Demographics
NPI:1891383923
Name:RIEMENSCHNEIDER, RACHEL LEE (COTA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEE
Last Name:RIEMENSCHNEIDER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 KEARNEY ST
Mailing Address - Street 2:
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-1212
Mailing Address - Country:US
Mailing Address - Phone:267-294-5984
Mailing Address - Fax:
Practice Address - Street 1:17 KEARNEY ST
Practice Address - Street 2:
Practice Address - City:KEYPORT
Practice Address - State:NJ
Practice Address - Zip Code:07735-1212
Practice Address - Country:US
Practice Address - Phone:267-294-5984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty