Provider Demographics
NPI:1427573922
Name:DURANT, REBECCA JOY (DPT)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:JOY
Last Name:DURANT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1169 PITTSFIELD LN APT B
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-4837
Mailing Address - Country:US
Mailing Address - Phone:269-228-1326
Mailing Address - Fax:
Practice Address - Street 1:1851 LOMBARD ST # 205
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-8230
Practice Address - Country:US
Practice Address - Phone:805-983-2234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293417225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist