Provider Demographics
NPI:1902421134
Name:MERCADO, ANNE ROCHELLE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ANNE ROCHELLE
Middle Name:
Last Name:MERCADO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 SNOWDROP CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-7116
Mailing Address - Country:US
Mailing Address - Phone:925-642-6640
Mailing Address - Fax:
Practice Address - Street 1:1504 SNOWDROP CT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-7116
Practice Address - Country:US
Practice Address - Phone:925-642-6640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist