Provider Demographics
NPI:1023475217
Name:ANDERSON, REBECCA A (PT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:A
Other - Last Name:FRANCZAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1025 COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-3152
Mailing Address - Country:US
Mailing Address - Phone:585-487-3500
Mailing Address - Fax:585-487-3576
Practice Address - Street 1:1025 COMMONS WAY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3152
Practice Address - Country:US
Practice Address - Phone:585-487-3500
Practice Address - Fax:585-487-3576
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018325225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist