Provider Demographics
NPI:1295862548
Name:MCNAB, REBECCA JEAN (OTR)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JEAN
Last Name:MCNAB
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10046 JULIAN CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6769
Mailing Address - Country:US
Mailing Address - Phone:303-909-3835
Mailing Address - Fax:
Practice Address - Street 1:10046 JULIAN CT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6769
Practice Address - Country:US
Practice Address - Phone:303-909-3835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1031812225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics