Healthcare Provider Details

I. General information

NPI: 1730200783
Provider Name (Legal Business Name): REBECCA JOI FRENCH PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1789 KIRBY PKWY STE 3
MEMPHIS TN
38138-3657
US

IV. Provider business mailing address

1583 TERN REST COVE
CORDOVA TN
38016
US

V. Phone/Fax

Practice location:
  • Phone: 901-759-1282
  • Fax: 901-759-1290
Mailing address:
  • Phone: 615-618-1574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7620
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: