| Doctor Name: | RACHEL IBARRETA |
| NPI Number: | 1376943332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 038203 |
| Business Practice Address: | 6805 Fresh Pond Rd 1st Fl Ridgewood, NY - 113855200 |
| Business Phone Number: | 7184562545 |
| Business Fax Number: | 7185596784 |
| Mailing Address: | 6805 Fresh Pond Rd, 1st Fl RIDGEWOOD |
| State: | NY |
| Postal Code: | 113855200 |
| Phone Number: | 7184562545 |
| Fax Number: | 7185596784 |
| NPI Enumeration Date: | 08/27/2014 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 038203 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |