Provider Demographics
NPI:1326333725
Name:STRAIN, REBECCA CATHLEEN (PTA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:CATHLEEN
Last Name:STRAIN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4971 COUNTRY MEADOWS BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-8204
Mailing Address - Country:US
Mailing Address - Phone:870-321-2666
Mailing Address - Fax:
Practice Address - Street 1:5700 24TH ST E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-4940
Practice Address - Country:US
Practice Address - Phone:941-755-0443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA20854225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant