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NPI Code Detail

MEDICARE: REBECCA PANTON OTR/L

MEDICARE:   REBECCA  PANTON  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
1174400000XSpecialistOT 179WA

General Provider Information

NPI Number : 1891170387
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA PANTON OTR/L
Provider Business Mailing Address
First Line : 316 E MCLEOD RD STE 108
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-6491
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 316 E MCLEOD RD STE 108
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-6491
Country : US
Telephone Number : 360-734-5410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2015
Last Update Date : 07/25/2015

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Directions to “ REBECCA PANTON OTR/L” Practice Location

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