Provider Demographics
NPI:1861957235
Name:SABATO, RACHEL FLOREN (OTR/L)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:FLOREN
Last Name:SABATO
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 1:1315 ERINSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-3126
Mailing Address - Country:US
Mailing Address - Phone:704-737-8714
Mailing Address - Fax:
Practice Address - Street 1:90 COLLETT WOODS TRL
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:NC
Practice Address - Zip Code:28901-5508
Practice Address - Country:US
Practice Address - Phone:828-557-1284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-09
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11274225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11274OtherNCBOT