Provider Demographics
NPI:1205023165
Name:KAHLER-REIS, REBECCA L (MS,OT)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:L
Last Name:KAHLER-REIS
Suffix:
Gender:F
Credentials:MS,OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-4929
Mailing Address - Country:US
Mailing Address - Phone:781-665-7698
Mailing Address - Fax:
Practice Address - Street 1:201 BEECH AVE
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-4929
Practice Address - Country:US
Practice Address - Phone:781-665-7698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4050225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist