Provider Demographics
NPI:1841774437
Name:MOHRBACHER, REBECCA MARIE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MARIE
Last Name:MOHRBACHER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5292 MEADE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1072
Mailing Address - Country:US
Mailing Address - Phone:505-264-0519
Mailing Address - Fax:
Practice Address - Street 1:1525 RALEIGH ST STE 210
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1497
Practice Address - Country:US
Practice Address - Phone:303-458-9660
Practice Address - Fax:303-458-9661
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0015590225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist