Provider Demographics
NPI:1508889510
Name:BOCKSTOCE, REBECCA J (OTR)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:J
Last Name:BOCKSTOCE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7045 CARRIAGE HILL DR
Mailing Address - Street 2:# 203
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1269
Mailing Address - Country:US
Mailing Address - Phone:216-334-5008
Mailing Address - Fax:440-746-0096
Practice Address - Street 1:7045 CARRIAGE HILL DR
Practice Address - Street 2:# 203
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1269
Practice Address - Country:US
Practice Address - Phone:216-334-5008
Practice Address - Fax:440-746-0096
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT004860225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist