Provider Demographics
NPI:1376793984
Name:GREER, REBECCA S (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:S
Last Name:GREER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MRS
Other - First Name:BECKY
Other - Middle Name:S
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPT
Mailing Address - Street 1:2610 INTERNATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77632-1334
Mailing Address - Country:US
Mailing Address - Phone:409-886-4212
Mailing Address - Fax:
Practice Address - Street 1:4201 FM 105
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-1272
Practice Address - Country:US
Practice Address - Phone:409-670-1457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1113314225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist