Provider Demographics
NPI:1326443375
Name:SAYE, REBECCA BRICE
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:BRICE
Last Name:SAYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:BRICE
Other - Last Name:MCCOOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:170 MARILYN FARMER WAY
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-3141
Mailing Address - Country:US
Mailing Address - Phone:706-621-4260
Mailing Address - Fax:
Practice Address - Street 1:170 MARILYN FARMER WAY
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-3141
Practice Address - Country:US
Practice Address - Phone:706-621-4260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-01
Last Update Date:2014-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5806225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist