| NPI | 1275593741 |
|---|---|
| Former Name | REBECCA J. ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 16031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 7112) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: CT 7112) | |
| 225400000X Rehabilitation Practitioner (Licence: CT 7112) | |
| 2251N0400X Physical Therapist, Neurology (Licence: CT 7112) | |
| 2251S0007X Physical Therapist, Sports (Licence: CT 7112) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CT 7112) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2023-12-01 |