Provider Demographics
NPI:1043444177
Name:STETZ CANGIANO, REBECCA K
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:K
Last Name:STETZ CANGIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:KRISTEN
Other - Last Name:STETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1806 SWAMP PIKE # 100
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-9307
Mailing Address - Country:US
Mailing Address - Phone:484-948-2800
Mailing Address - Fax:610-792-3044
Practice Address - Street 1:19 W LINFIELD TRAPPE RD
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-1807
Practice Address - Country:US
Practice Address - Phone:484-948-2800
Practice Address - Fax:610-792-3044
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022238225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist