Provider Demographics
NPI:1043464043
Name:ROSENAU, RACHEL JENNIFER (OT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:JENNIFER
Last Name:ROSENAU
Suffix:
Gender:
Credentials:OT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ROSENAU
Other - Last Name:DESAUTELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5113 PIPER STATION DR STE 103
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-6690
Mailing Address - Country:US
Mailing Address - Phone:704-752-1616
Mailing Address - Fax:
Practice Address - Street 1:5113 PIPER STATION DR STE 103
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-6690
Practice Address - Country:US
Practice Address - Phone:704-752-1616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6793225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist