Healthcare Provider Details

I. General information

NPI: 1982531257
Provider Name (Legal Business Name): ABIGAIL ELISE REHL-ANDROS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 3RD ST
MARIETTA OH
45750-3001
US

IV. Provider business mailing address

217 INGLESIDE AVE APT B
MARIETTA OH
45750-3477
US

V. Phone/Fax

Practice location:
  • Phone: 919-801-9816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: