Provider Demographics
NPI:1801086707
Name:SARSHALOM, RACHEL FAYE (MOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:FAYE
Last Name:SARSHALOM
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:19101 MYSTIC POINTE DR
Mailing Address - Street 2:SUITE #1404
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4512
Mailing Address - Country:US
Mailing Address - Phone:305-215-4215
Mailing Address - Fax:786-398-4561
Practice Address - Street 1:19101 MYSTIC POINTE DR
Practice Address - Street 2:SUITE #1404
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-4512
Practice Address - Country:US
Practice Address - Phone:305-215-4215
Practice Address - Fax:786-398-4561
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 12595225XP0200X
FLOT12595225XP0019X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand