Provider Demographics
NPI:1386041283
Name:REHFELD, WENDY NOEL (MOTR/L)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:NOEL
Last Name:REHFELD
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4742 LIBERTY RD S # 315
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-5037
Mailing Address - Country:US
Mailing Address - Phone:503-385-5853
Mailing Address - Fax:
Practice Address - Street 1:4742 LIBERTY RD S
Practice Address - Street 2:#315
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-5037
Practice Address - Country:US
Practice Address - Phone:503-385-5853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-21
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1066785225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist