Rachael Grace Tucker, OTR/L
Individual provider Active NPI Mental Health Occupational Therapist · Haskell, NJ
NPI 1164095071 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1164095071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Occupational Therapist 225XM0800X
- License
- 46TR00944300 (NJ)
- Practice address
- 18 Rockridge Rd
Haskell, NJ 07420-1037 - Phone
- (973) 358-2853
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00944300 | NJ | MD | Mental Health Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist |
225XM0800X | 46TR00944300 | NJ | Yes |
Addresses
Primary practice location
18 Rockridge Rd
Haskell, NJ 07420-1037
Mailing address
18 Rockridge Rd
Haskell, NJ 07420-1037
Phone (973) 358-2853
Other providers in Haskell, NJ
- Jeffrey Todd Smith
- Karen Sumner
- Danielle Tapper
- Kade Thurman
- Vincent R Tolentino
- Melissa Brei Walker
- Wanaque Convalescent Center
- Wanaque Nursing & Rehabilitation LLC
- Wanaque Nursing & Rehabilitation LLC
- Wanaque Public Schools
All providers in Haskell, NJ · Mental Health Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.