MEDICARE: REBECCA R LOUIE D.O.

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	208100000X	Physical Medicine & Rehabilitation Physician	919696	VA
2	208100000X	Physical Medicine & Rehabilitation Physician	37732	SC

General Provider Information

NPI Number	:	1215225230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA R LOUIE D.O.

Provider Business Mailing Address
First Line	:	1000 FORBES RD
Second Line	:
City	:	INDIAN LAND
State	:	SC
Zip	:	29707-5515
Country	:	US
Telephone Number	:	828-989-6375
Fax Number	:

Provider Business Practice Location Address
First Line	:	1795 DR FRANK GASTON BLVD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1190
Country	:	US
Telephone Number	:	803-326-3630
Fax Number	:

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

Provider Enumeration Date	:	07/11/2011
Last Update Date	:	04/22/2020

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Directions to “ REBECCA R LOUIE D.O.” Practice Location

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