National Provider Identifier
Andrea Raphael, OT
Andrea Raphael, OT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 377-0350.
Profile Overview
- NPI
- 1114412657
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- June 27, 2018
- Last Updated
- June 27, 2018
Practice Location
- 4646 Fairport Nine Mile PT RD
- Fairport, NY 14450-1163
Phone: (585) 377-0350
Mailing Address
- 12 Chateau Sq
- Rochester, NY 14618-5131
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1114412657
- Entity Type
- Individual
- Last Name
- Raphael
- First Name
- Andrea
- Credential
- OT
- Mailing Street Address
- 12 Chateau Sq
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5131
- Mailing Country
- US
- Mailing Phone
- (585) 813-5455
- Practice Street Address
- 4646 Fairport Nine Mile PT RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1163
- Practice Country
- US
- Practice Phone
- (585) 377-0350
- Enumeration Date
- June 27, 2018
- Last Updated
- June 27, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)