Provider Demographics
NPI:1225281116
Name:GLENDY, REBECCA M (PT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
Last Name:GLENDY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2815 CATES AVENUE
Mailing Address - Street 2:CAMPUS BOX 7304
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27695-7304
Mailing Address - Country:US
Mailing Address - Phone:919-513-3260
Mailing Address - Fax:919-515-1519
Practice Address - Street 1:2815 CATES AVENUE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27695-7304
Practice Address - Country:US
Practice Address - Phone:919-513-3260
Practice Address - Fax:919-515-1519
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23902251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic