Provider Demographics
NPI:1619578838
Name:MURGA, REBECKA MARIE (PT)
Entity Type:Individual
Prefix:
First Name:REBECKA
Middle Name:MARIE
Last Name:MURGA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 FIELDFARE WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6933
Mailing Address - Country:US
Mailing Address - Phone:216-394-2988
Mailing Address - Fax:
Practice Address - Street 1:13 FIELDFARE WAY
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-6933
Practice Address - Country:US
Practice Address - Phone:216-394-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8208225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist