Provider Demographics
NPI:1457585085
Name:DODARD, RACHELE MARTHE (MOT, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:RACHELE
Middle Name:MARTHE
Last Name:DODARD
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13234 SW 111TH TER APT 4
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7940
Mailing Address - Country:US
Mailing Address - Phone:305-385-4530
Mailing Address - Fax:305-385-4530
Practice Address - Street 1:13234 SW 111TH TER APT 4
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7940
Practice Address - Country:US
Practice Address - Phone:305-385-4530
Practice Address - Fax:305-385-4530
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9175225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics