Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY REBECCA FAIRBANKS RASOR, COTA/L
Active Sole ProprietorMS. MARY REBECCA FAIRBANKS RASOR, COTA/L is a Occupational Therapy Assistant healthcare provider located in MIDLAND PARK, New Jersey. NPI 1992402010 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MIDLAND PARK, NJ
Registration Details
- NPI Number
- 1992402010
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2023 (3.508749731635 yrs)
- Last Updated
- Jun 22, 2023
- License
-
46TA09231000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33 CENTRAL AVEMIDLAND PARK, NJ, 074321401Browse NJ providers · Browse ZIP 07432
- Phone
- 2016321900
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.