Provider Demographics
NPI:1700875978
Name:HILL, RACHELLE POURCIAU (MSPT, CSCS)
Entity type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:POURCIAU
Last Name:HILL
Suffix:
Gender:F
Credentials:MSPT, CSCS
Other - Prefix:
Other - First Name:RACHELLE
Other - Middle Name:JO
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT, CSCS
Mailing Address - Street 1:2050 ABBEY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-3553
Mailing Address - Country:US
Mailing Address - Phone:434-244-0069
Mailing Address - Fax:434-296-0067
Practice Address - Street 1:2050 ABBEY RD
Practice Address - Street 2:SUITE B
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-3553
Practice Address - Country:US
Practice Address - Phone:434-244-0069
Practice Address - Fax:434-296-0067
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06781225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H439C943Medicare ID - Type Unspecified