Rachael Avery Burgess
Occupational Therapy Assistant
1909 Longfellow Avenue
The Bronx
, New York 10460
Rachael Avery Burgess
Occupational Therapy Assistant
1909 Longfellow Avenue
The Bronx
, New York 10460
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Rachael Avery Burgess
- 37 Mountain Lakes Dr
- Wanaque, NJ
- Zip : 07465-1016
- Phone :
Second Address
- Rachael Avery Burgess
- 1909 Longfellow Avenue
- The Bronx, NY
- Zip : 10460
- Phone : (347) 497-3998
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 10593-01 | NY |
National Provider Identifier
| NPI | 1023614252 |
|---|---|
| Provider Name | Rachael Avery Burgess |
| First Address | Wanaque, NJ 07465-1016 |
| Second Address | The Bronx, NY 10460 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2020 |
| Last Update Date | 11/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.