Provider Demographics
NPI:1831125491
Name:WILLIAMS, REBECCA ANNE DEPIETRO (PT)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ANNE DEPIETRO
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2050 WALKER MILL RD
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-3646
Mailing Address - Country:US
Mailing Address - Phone:330-519-3411
Mailing Address - Fax:
Practice Address - Street 1:315 STRUTHERS LIBERTY RD
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:OH
Practice Address - Zip Code:44405-1949
Practice Address - Country:US
Practice Address - Phone:330-750-0800
Practice Address - Fax:330-750-0693
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist