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NPI Code Detail

MEDICARE: MRS. REBECCA ANNE DEPIETRO WILLIAMS PT

MEDICARE: MRS. REBECCA ANNE DEPIETRO WILLIAMS PT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1831125491
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA ANNE DEPIETRO WILLIAMS PT
Provider Business Mailing Address
First Line : 2050 WALKER MILL RD
Second Line :
City : POLAND
State : OH
Zip : 44514-3646
Country : US
Telephone Number : 330-519-3411
Fax Number :
Provider Business Practice Location Address
First Line : 315 STRUTHERS LIBERTY RD
Second Line :
City : CAMPBELL
State : OH
Zip : 44405-1949
Country : US
Telephone Number : 330-750-0800
Fax Number : 330-750-0693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 05/15/2014

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