Provider Demographics
NPI:1447385612
Name:CARTRETT, REBEKAH (OTR)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:CARTRETT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:
Other - Last Name:GULINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:1201 AUSTRALIAN AVE
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-6635
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1201 AUSTRALIAN AVE
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-6635
Practice Address - Country:US
Practice Address - Phone:561-842-3213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11378225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist