Healthcare Provider Details

I. General information

NPI: 1023244985
Provider Name (Legal Business Name): REBECCA HECHT OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2009
Last Update Date: 05/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1781 CLEAR RIVER FALLS LN
HENDERSON NV
89012-3484
US

IV. Provider business mailing address

1781 CLEAR RIVER FALLS LN
HENDERSON NV
89012-3484
US

V. Phone/Fax

Practice location:
  • Phone: 443-791-4739
  • Fax:
Mailing address:
  • Phone: 443-791-4739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number014455
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: