Healthcare Provider Details

I. General information

NPI: 1386548394
Provider Name (Legal Business Name): REBECCA ALLEN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 ALEXANDER ST
FAYETTEVILLE NC
28301-5752
US

IV. Provider business mailing address

466 GODWIN LAKE RD
BENSON NC
27504-6330
US

V. Phone/Fax

Practice location:
  • Phone: 910-920-3838
  • Fax: 910-920-1068
Mailing address:
  • Phone: 910-920-3838
  • Fax: 910-920-1068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number18837
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: