MEDICARE: MISS REBECCA MORGAN PRICE MS, OTR/L

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	225X00000X	Occupational Therapist	OT.0006089	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306499066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS REBECCA MORGAN PRICE MS, OTR/L

Provider Business Mailing Address
First Line	:	516 W BIJOU ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-1311
Country	:	US
Telephone Number	:	719-633-9114
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 PRINTERS PKWY STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-6101
Country	:	US
Telephone Number	:	719-623-6644
Fax Number	:

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

Provider Enumeration Date	:	07/22/2019
Last Update Date	:	09/11/2023

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