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NPI Code Detail

MEDICARE: REBECCA CONNORS

MEDICARE: REBECCA CONNORS
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
1225100000XPhysical TherapistPT-6065OH

General Provider Information

NPI Number : 1336397876
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA CONNORS
Provider Business Mailing Address
First Line : 1440 LAKESIDE AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-1137
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1440 LAKESIDE AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-1137
Country : US
Telephone Number : 216-795-8092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2008
Last Update Date : 06/21/2024

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Directions to “ REBECCA CONNORS ” Practice Location

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