Provider Demographics
NPI:1841426434
Name:VELTRI, REBECCA ADDITON (DPT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ADDITON
Last Name:VELTRI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5060 SW PHILOMATH BLVD
Mailing Address - Street 2:#315
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-3239
Mailing Address - Country:US
Mailing Address - Phone:617-519-0936
Mailing Address - Fax:
Practice Address - Street 1:32513 JOSEPH LN
Practice Address - Street 2:
Practice Address - City:PHILOMATH
Practice Address - State:OR
Practice Address - Zip Code:97370-9130
Practice Address - Country:US
Practice Address - Phone:617-519-0936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR63602251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics