Provider Demographics
NPI:1376919027
Name:STUMP, REBECCA (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:STUMP
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:BEEBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:540 S COLLEGE AVE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-1302
Mailing Address - Country:US
Mailing Address - Phone:302-831-8893
Mailing Address - Fax:
Practice Address - Street 1:540 S COLLEGE AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-1302
Practice Address - Country:US
Practice Address - Phone:302-831-8893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0002949225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist