Rachael Crossin, COTA

Individual provider Active NPI Community Health Worker · Fairless Hills, PA

NPI 1841668985 · NPPES record last updated Sep 7, 2015

Key facts

NPI
1841668985
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
46TA09106200 (NJ)
Practice address
215 Tewksbury Rd
Fairless Hills, PA 19030-3205
Phone
(215) 932-8189
NPI assigned
Sep 7, 2015
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

LicenseStateTypeSpecialty
46TA09106200NJMDCommunity Health Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 46TA09106200 NJ Yes

Addresses

Primary practice location

215 Tewksbury Rd
Fairless Hills, PA 19030-3205

Mailing address

215 Tewksbury Rd
Fairless Hills, PA 19030-3205
Phone (215) 932-8189

Other providers in Fairless Hills, PA

All providers in Fairless Hills, PA · Community Health Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.