Provider Demographics
NPI:1063786440
Name:REICHEL, ROCHELLE ROSSMAN (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:ROSSMAN
Last Name:REICHEL
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31246 FRANK DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-1609
Mailing Address - Country:US
Mailing Address - Phone:586-604-9999
Mailing Address - Fax:586-979-3449
Practice Address - Street 1:31246 FRANK DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-1609
Practice Address - Country:US
Practice Address - Phone:586-604-9999
Practice Address - Fax:586-979-3449
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000639225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist