Provider Demographics
NPI:1346713252
Name:CLINE, REBECCA SUE (PTA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:SUE
Last Name:CLINE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:SUE
Other - Last Name:CLINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTA
Mailing Address - Street 1:4 MANCHESTER LANE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7935
Mailing Address - Country:US
Mailing Address - Phone:501-609-9726
Mailing Address - Fax:
Practice Address - Street 1:100 HOLLYWOOD AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7057
Practice Address - Country:US
Practice Address - Phone:501-781-0118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPTA2063225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant