Provider Demographics
NPI:1033969894
Name:AHDOOT, RACHEL (OTR)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:AHDOOT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 FIR DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1549
Mailing Address - Country:US
Mailing Address - Phone:516-225-8905
Mailing Address - Fax:
Practice Address - Street 1:20 FIR DR
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11024-1549
Practice Address - Country:US
Practice Address - Phone:516-225-8905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist