Provider Demographics
NPI:1053075044
Name:MCGRATH HINKLE, REBECCA E
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:E
Last Name:MCGRATH HINKLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13104
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32591-3104
Mailing Address - Country:US
Mailing Address - Phone:614-746-9216
Mailing Address - Fax:
Practice Address - Street 1:2444 AVALON BLVD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32583-9157
Practice Address - Country:US
Practice Address - Phone:614-746-9216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist