Basic Information
| Provider Information | |||||||||
| NPI: | 1407869753 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TOLUB | ||||||||
| FirstName: | RACHEL-DENA | ||||||||
| MiddleName: | TURK | ||||||||
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| Credential: | MA, OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1515 DEKALB PIKE | ||||||||
| Address2: | STE 204 | ||||||||
| City: | BLUE BELL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194223367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102771990 | ||||||||
| FaxNumber: | 6102772007 | ||||||||
| Practice Location | |||||||||
| Address1: | 1515 DEKALB PIKE | ||||||||
| Address2: | STE 204 | ||||||||
| City: | BLUE BELL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194223367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102771990 | ||||||||
| FaxNumber: | 6102772007 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2006 | ||||||||
| LastUpdateDate: | 03/16/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OC007623L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.