Provider Demographics
NPI:1942422043
Name:KASSAPIAN, REBECCA (BSC RPT)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:KASSAPIAN
Suffix:
Gender:F
Credentials:BSC RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23153 SW 53RD AVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7997
Mailing Address - Country:US
Mailing Address - Phone:561-756-7037
Mailing Address - Fax:
Practice Address - Street 1:16200 JOG RD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-2321
Practice Address - Country:US
Practice Address - Phone:561-638-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT126742251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics