MEDICARE: REBECCA JEAN HUTCHERSON 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	225100000X	Physical Therapist	2305207181	VA

General Provider Information

NPI Number	:	1942624663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA JEAN HUTCHERSON DPT

Provider Business Mailing Address
First Line	:	8510 CLAYPOOL RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-2619
Country	:	US
Telephone Number	:	845-642-9136
Fax Number	:

Provider Business Practice Location Address
First Line	:	8510 CLAYPOOL RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-2619
Country	:	US
Telephone Number	:	845-642-9136
Fax Number	:

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

Provider Enumeration Date	:	02/17/2014
Last Update Date	:	12/28/2015

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