Provider Demographics
NPI:1972097020
Name:TOWNSEND, REBECCA TRINE (DPT)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:TRINE
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:TRINE
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1731 SUN DIAL DR
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515-2328
Mailing Address - Country:US
Mailing Address - Phone:979-299-8237
Mailing Address - Fax:
Practice Address - Street 1:5020 KELVIN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2533
Practice Address - Country:US
Practice Address - Phone:346-385-4059
Practice Address - Fax:281-947-0566
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1304205225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist