Provider Demographics
NPI:1407869753
Name:TOLUB, RACHEL-DENA TURK (MA, OTR/L)
Entity type:Individual
Prefix:
First Name:RACHEL-DENA
Middle Name:TURK
Last Name:TOLUB
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 DEKALB PIKE
Mailing Address - Street 2:STE 204
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-3367
Mailing Address - Country:US
Mailing Address - Phone:610-277-1990
Mailing Address - Fax:610-277-2007
Practice Address - Street 1:1515 DEKALB PIKE
Practice Address - Street 2:STE 204
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3367
Practice Address - Country:US
Practice Address - Phone:610-277-1990
Practice Address - Fax:610-277-2007
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC007623L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist