Provider Demographics
NPI:1659635480
Name:MERRICK, RACHEL (MHS, OTR/L)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MERRICK
Suffix:
Gender:F
Credentials:MHS, OTR/L
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:HARRELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:16 SEABROOK POINT DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:SC
Mailing Address - Zip Code:29940-3509
Mailing Address - Country:US
Mailing Address - Phone:803-646-4090
Mailing Address - Fax:
Practice Address - Street 1:1536 FORDING ISLAND RD
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1120
Practice Address - Country:US
Practice Address - Phone:843-837-2080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3935225XP0200X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics