Provider Demographics
NPI:1487059168
Name:GERRISH, RACHEL VOICECHOVSKI (DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:VOICECHOVSKI
Last Name:GERRISH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 BEACH ST
Mailing Address - Street 2:BLDG. D
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2717
Mailing Address - Country:US
Mailing Address - Phone:401-348-8112
Mailing Address - Fax:
Practice Address - Street 1:14 CLARA DR STE 3
Practice Address - Street 2:
Practice Address - City:MYSTIC
Practice Address - State:CT
Practice Address - Zip Code:06355-1973
Practice Address - Country:US
Practice Address - Phone:860-245-0851
Practice Address - Fax:860-245-0860
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02763225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist