Provider Demographics
NPI:1073610036
Name:REHE, STEPHANIE C (MPT, DPT, ATC)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:C
Last Name:REHE
Suffix:
Gender:F
Credentials:MPT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 OLD RANCH RD
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-3211
Mailing Address - Country:US
Mailing Address - Phone:760-341-3846
Mailing Address - Fax:760-341-3924
Practice Address - Street 1:161 OLD RANCH RD
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-3211
Practice Address - Country:US
Practice Address - Phone:760-341-3846
Practice Address - Fax:760-341-3924
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT25627225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT256270OtherBLUE SHIELD
CA0PT256270OtherBLUE SHIELD