Provider Demographics
NPI:1679762785
Name:SWORDS, REBEKAH DAWN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:DAWN
Last Name:SWORDS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:DAWN
Other - Last Name:SCHOLL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:1301 HIGHWAY 407
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2124
Mailing Address - Country:US
Mailing Address - Phone:972-317-7775
Mailing Address - Fax:
Practice Address - Street 1:1301 HIGHWAY 407
Practice Address - Street 2:SUITE 206
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-2124
Practice Address - Country:US
Practice Address - Phone:972-317-7775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist