MEDICARE: REBECCA HUEBNER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	300317	CA

General Provider Information

NPI Number	:	1124758685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA HUEBNER DPT

Provider Business Mailing Address
First Line	:	3514 JOSIE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-2909
Country	:	US
Telephone Number	:	310-985-1685
Fax Number	:

Provider Business Practice Location Address
First Line	:	3514 JOSIE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-2909
Country	:	US
Telephone Number	:	310-985-1685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	06/15/2022

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