Provider Demographics
NPI:1548781578
Name:MARTINDELL, REBEKA CAMILLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:REBEKA
Middle Name:CAMILLE
Last Name:MARTINDELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:CENTRAL
Mailing Address - State:AZ
Mailing Address - Zip Code:85531-0458
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5812 W CENTRAL RD
Practice Address - Street 2:
Practice Address - City:CENTRAL
Practice Address - State:AZ
Practice Address - Zip Code:85531
Practice Address - Country:US
Practice Address - Phone:928-322-3968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics